Individual
BRENNA MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21120 MERIDIAN E, GRAHAM, WA 98338-8254
(253) 285-4750
(253) 375-6203
Mailing address
2403 12TH STREET PL SW, PUYALLUP, WA 98373-3729
(253) 569-8324
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61218359
WA
Other
Enumeration date
11/16/2021
Last updated
11/16/2021
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