Individual
BRENDA L SPINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BRENDA SPINA, M.S.
Contact information
Practice address
1476 KENWOOD CTR, MENASHA, WI 54952-1134
(920) 720-8872
(920) 720-8873
Mailing address
1476 KENWOOD CTR, MENASHA, WI 54952-1134
(920) 720-8872
(920) 720-8873
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
520-125
WI
106H00000X
Marriage & Family Therapist
Primary
136-124
WI
Other
Enumeration date
07/14/2008
Last updated
07/14/2008
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