Brannen, Willard Theodore

Brannen, Willard Theodore is an individual health care provider with primary practice located at 330 Kay Larkin Dr , Palatka FL 32177-2307. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Brannen, Willard Theodore can be contacted via phone (386) 329-3780.

Contact Information

Primary practice address
330 Kay Larkin Dr Palatka FL 32177-2307
Phone: (386) 329-3780
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC009295 Georgia
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH15381 Florida

Profile Details

NPI number 1447749973
LBN Legal business name Brannen, Willard Theodore
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2018
Last updated May 10th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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