Individual
BRENDA LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2204 LABELLE ST, MEMPHIS, TN 38114-5461
(901) 649-8327
Mailing address
2204 LABELLE ST, MEMPHIS, TN 38114-5461
(901) 649-8327
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/10/2016
Last updated
10/10/2016
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