Individual
DIANE R BRENEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
975 W MCLEAN DR, WICKENBURG, AZ 85390-3631
(623) 810-8463
Mailing address
975 W MCLEAN DR, WICKENBURG, AZ 85390-3631
(623) 810-8463
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-17618
AZ
Other
Enumeration date
01/12/2021
Last updated
01/12/2021
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