J Phyllis Brannen Lcsw Cap

NPI #1073762415 in Melbourne, Florida

Provider Information

NPI Number: 1073762415
Entity Type: Organization
Organization Name: J Phyllis Brannen Lcsw Cap
Primary Specialty: Social Worker - Clinical
Enumeration Date: Sep 10, 2008
Last Updated: Sep 10, 2008

Practice Location

Address: 1503 PINE ST
City: Melbourne
State: Florida
ZIP Code: 32901-3120
Phone: (321) 953-3225

Authorized Official

Name: J PHYLLIS BRANNEN, LCSW CAP
Title: PRESIDENT
Phone: (321) 953-3225

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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