Individual
BRENDA BRANDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1204 MECHEM DR STE 6, RUIDOSO, NM 88345-7207
(575) 258-8605
Mailing address
1204 MECHEM DR STE 6, RUIDOSO, NM 88345-7207
(575) 258-8605
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0093431
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50324012
—
NM
Enumeration date
08/05/2006
Last updated
01/31/2008
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