Individual
BRENDEN ARIAS TUDOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LLPC, AT
Contact information
Practice address
1611 OAK AVE, MUSKEGON, MI 49442-2468
(231) 767-1921
Mailing address
1611 OAK AVE, MUSKEGON, MI 49442-2468
(231) 767-1921
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401018626
MI
2255A2300X
Athletic Trainer
2601001963
MI
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/10/2016
Last updated
11/16/2020
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