Individual
DR. BRENDA-JOYCE G MARKERT-GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMFT
Contact information
Practice address
5775 NIMTZ PKWY, SOUTH BEND, IN 46628-6194
(909) 503-7191
Mailing address
PO BOX 24, BERRIEN SPRINGS, MI 49103-0024
(909) 503-7191
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
48104
CA
101YP1600X
Pastoral Counselor
48104
CA
101YP2500X
Professional Counselor
48104
CA
103G00000X
Clinical Neuropsychologist
48104
CA
106H00000X
Marriage & Family Therapist
Primary
35001876A
IN
106H00000X
Marriage & Family Therapist
4101006620
MI
106H00000X
Marriage & Family Therapist
48104
CA
Other
Enumeration date
09/20/2007
Last updated
08/11/2022
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