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Individual

MRS. BRENDA KAY ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LPC, LMFT

Contact information

Practice address
804 SANTA FE DR, WEATHERFORD, TX 76086-6525
(817) 599-4781
(817) 599-7611
Mailing address
804 SANTA FE DR, WEATHERFORD, TX 76086-6525
(817) 599-4781
(817) 599-7611

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
11502
TX
106H00000X
Marriage & Family Therapist
Primary
3866
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2103 LC
BLUE CROSS/BLUE SHIELD ID
TX
01
LP0049682
AMERICAID
TX
Enumeration date
10/25/2006
Last updated
09/11/2025
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