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Madison Brantley, RMHCI

NPI 1457079121 · on the registry since 2022

Practice

Address
495 Prosperity Lake Dr # 101
St Augustine, FL 32092
Phone
(904) 294-7721
Clinicians at this address
5

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-08-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida