Doctor Name: | DONNA BRENO |
NPI Number: | 1013050483 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.P.C.C. |
License Number: | E-0003622 |
Business Practice Address: | 6140 S Broadway Lorain, OH - 440533821 |
Business Phone Number: | 4402044100 |
Business Fax Number: | 4402334468 |
Mailing Address: | 11 Granny Smith St, NORWALK |
State: | OH |
Postal Code: | 448571679 |
Phone Number: | 4196608300 |
Fax Number: | |
NPI Enumeration Date: | 02/15/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | E-0003622 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |