Individual
BRENDA LUCILLE CARNAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2200 4TH ST, BAKER CITY, OR 97814-2615
(541) 523-3646
Mailing address
889 ELM ST, BAKER CITY, OR 97814-4524
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
C2360
OR
101YM0800X
Mental Health Counselor
—
OR
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500648181
—
OR
Enumeration date
01/09/2007
Last updated
06/19/2019
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