Individual
BRENNA LYNN TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CP60695551
Contact information
Practice address
720 W 1ST ST APT 12, CHENEY, WA 99004-1238
(509) 309-4583
Mailing address
11919 W SPRAGUE AVE, AIRWAY HEIGHTS, WA 99001
(509) 244-6700
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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