Individual
BRENDA CRELLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
2020 TALLEY RD, LEESBURG, FL 34748-3426
(352) 315-7500
(352) 360-6582
Mailing address
5511 BIRD ISLAND DR, LADY LAKE, FL 32159-4112
(352) 315-7500
(352) 360-6582
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
MH 11949
FL
Other
Enumeration date
08/05/2013
Last updated
08/05/2013
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