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Individual
MISS S PAIGE BRENNER
Active
Individual
MISS S PAIGE BRENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
MH6240
FL
101YM0800X
Mental Health Counselor
Primary
MH6240
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6240
LMHC
FL
Enumeration date
05/08/2007
Last updated
01/18/2012
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