Doctor Name: | MS. BRENDA C WEBB |
NPI Number: | 1164503553 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. LLPC |
License Number: | 909396 |
Business Practice Address: | 655 E Cedar Ave Gladwin, MI - 486242215 |
Business Phone Number: | 9894269295 |
Business Fax Number: | |
Mailing Address: | 381 S M18, GLADWIN |
State: | MI |
Postal Code: | 486242215 |
Phone Number: | 9894266023 |
Fax Number: | |
NPI Enumeration Date: | 10/18/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 909396 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |