Individual
BRENNAN LYNN DAGENHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC-R
Contact information
Practice address
45 OPTICAL CT NW, CONCORD, NC 28025-0061
(980) 270-5500
Mailing address
240 HENNING DR, ALBEMARLE, NC 28001-9772
(336) 422-2541
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
30157
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
30157
NC
Other
Enumeration date
08/14/2024
Last updated
10/08/2024
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