Individual
BRANDY ENNEKING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5120 SW 31ST ST, TOPEKA, KS 66614-3902
(520) 261-1366
Mailing address
5120 SW 31ST ST, TOPEKA, KS 66614-3902
(520) 850-7283
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LAC 14549
AZ
101YM0800X
Mental Health Counselor
LCPC-03104
KS
101YM0800X
Mental Health Counselor
Primary
LPC-17039
AZ
Other
Enumeration date
03/28/2015
Last updated
04/27/2023
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