| Doctor Name: | MRS. BRENDA L KITTRELL |
| NPI Number: | 1033187521 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMSW, ACSW, MAC |
| License Number: | 24843 |
| Business Practice Address: | 3808 Lanyard Dr Ne Lacey, WA - 985161333 |
| Business Phone Number: | 2532262225 |
| Business Fax Number: | |
| Mailing Address: | 3808 Lanyard Dr Ne, LACEY |
| State: | WA |
| Postal Code: | 985161333 |
| Phone Number: | 2532262225 |
| Fax Number: | |
| NPI Enumeration Date: | 03/09/2006 |
| NPI Last Update Date: | 10/18/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 24843 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |