Individual
MRS. BRENDA KEARBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1156 SOUTH MAIN ST., LAKEPORT, CA 95453
(707) 279-4607
Mailing address
3970 MAIN STREET, KELSEYVILLE, CA 95451
(707) 279-4607
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IMF 49856
CA
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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