Individual
MS. BRENQUETTA SHAVANIR CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
524 LORNA SQ, HOOVER, AL 35216-5480
(052) 573-6090
(205) 573-6090
Mailing address
524 LORNA SQ, HOOVER, AL 35216-5480
(205) 573-6090
(205) 313-9038
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
3628
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
238745
—
AL
05
—
241372
—
AL
Enumeration date
07/10/2017
Last updated
07/10/2024
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