Individual
BRENDA KAY BIRDSALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
183 OLD TURNPIKE RD, MILLS RIVER, NC 28759-8776
(855) 945-7788
Mailing address
183 OLD TURNPIKE RD, MILLS RIVER, NC 28759-8776
(855) 945-7788
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-27063
NC
101YM0800X
Mental Health Counselor
Primary
A16247
NC
Other
Enumeration date
05/18/2021
Last updated
05/18/2021
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