person
Mr. Willard Theodore Brannen JR., LMHC
Mental Health Counselor in Palatka, Florida
NPI 1447749973

Willard Theodore Brannen JR. is a Mental Health Counselor based in Palatka, FL and is specialized in Mental Health. Willard Theodore Brannen JR. practices in Palatka, FL and has the professional credentials of LMHC. The NPI Number for Willard Theodore Brannen JR. is 1447749973 and holds a License No. LPC009295 (Florida).

The current practice location address for Willard Theodore Brannen JR. is 330 Kay Larkin Dr, Palatka, FL and can be reached out via phone at 386-329-3780.

Location: 330 Kay Larkin Dr, Palatka, FL, 32177-2307
person
Provider Profile Details
NPI Number
1447749973
Provider Name
Willard Theodore Brannen JR.
Credential
LMHC
Provider Entity Type
Individual
Gender
Male
Address
330 Kay Larkin Dr, Palatka, FL, 32177-2307
Phone Number
386-329-3780
Fax Number
Provider Enumeration Date
05/10/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
330 Kay Larkin Dr
City
State
Zip
32177-2307
Phone Number
386-329-3780
Fax Number
person
Provider Business Mailing Address Details
Address
330 Kay Larkin Dr
City
State
Zip
32177-2307
Phone Number
386-329-3780
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
MH15381 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LPC009295 (Georgia)
Definition
Definition to come...
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