Individual
BRENDA KAY HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1016 N PITCHER ST, KALAMAZOO, MI 49007-3548
(269) 873-3750
Mailing address
1016 N PITCHER ST, KALAMAZOO, MI 49007-3548
(269) 873-3750
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/02/2016
Last updated
03/02/2016
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