Individual
PAMELA J BRENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3124 N WELLNESS DR STE 50, HOLLAND, MI 49424-8121
(616) 805-3660
Mailing address
3622 LOHMAN DR, HAMILTON, MI 49419-9632
(616) 836-5906
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6401017110
MI
101YM0800X
Mental Health Counselor
6401017110
MI
101YP2500X
Professional Counselor
Primary
6401017110
MI
Other
Enumeration date
03/01/2023
Last updated
12/21/2023
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