# MS. BRENDA RUNYON DEERE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1720034440
- **Gender:** F
- **Credential:** MA, LPA, CPLC, CPWLC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |

## Other

- **Enumeration date:** 05/25/2006
- **Last updated:** 08/21/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2251 | PSYCHOLOGY LICENSE NUMBER | NC |
| 05 | — | 6107167 | — | NC |