Individual
BRENDA KEIRNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13352 VICTORIO RD UNIT B, EL PASO, TX 79908-7715
(513) 888-7984
Mailing address
13352 VICTORIO RD UNIT B, EL PASO, TX 79908-7715
(513) 888-7984
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
77915
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
14369
TX
101YM0800X
Mental Health Counselor
77915
TX
101YP2500X
Professional Counselor
Primary
77915
TX
Other
Enumeration date
04/09/2022
Last updated
04/09/2022
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