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Individual
MR. JEREMY DON BRENNEMAN
Active
Individual
MR. JEREMY DON BRENNEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC, LCADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCA437
MD
101YP2500X
Professional Counselor
LC2028
MD
101YP2500X
Professional Counselor
LC2085
MD
Other
Enumeration date
02/09/2017
Last updated
03/17/2018
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