Individual
DR. CAROL A. BRENNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4686 CORRALES RD, #4E, CORRALES, NM 87048-8610
(505) 255-7077
(505) 890-1313
Mailing address
4686 CORRALES RD, #4E, CORRALES, NM 87048-8610
(505) 255-7077
(505) 890-1313
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0519
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B8015
—
NM
Enumeration date
08/30/2006
Last updated
07/08/2007
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