Individual
MS. KATHLEEN BRENNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA, MA, ED.M
Contact information
Practice address
180 CENTRE ST, BROCKTON, MA 02302-2733
(508) 314-0016
Mailing address
677 QUINCY SHORE DR APT 107, QUINCY, MA 02170-2200
(617) 786-0271
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/12/2011
Last updated
07/12/2011
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