Individual
ERIN BRENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QMHS, LCDC III
Contact information
Practice address
1 ELIZABETH PL # 1040, DAYTON, OH 45417-3445
(937) 732-0571
Mailing address
1934 W BATAAN DR, KETTERING, OH 45420-3643
(937) 732-0571
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDCIII.162100
OH
101YM0800X
Mental Health Counselor
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Other
Enumeration date
05/17/2017
Last updated
03/15/2021
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