Individual
BRENDA LYNN DERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACIT II, MATS
Contact information
Practice address
3640 N BRIARWOOD LN, MUNCIE, IN 47304-6375
(463) 777-5621
(765) 288-6520
Mailing address
3640 N BRIARWOOD LN, MUNCIE, IN 47304-6375
(463) 777-5621
(765) 288-6520
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/12/2022
Last updated
07/12/2022
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