Individual
DR. BRENDA PATTERSON ISHMAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
232 NEESES CAMP RD, NEESES, SC 29107-9428
(704) 661-4705
Mailing address
232 NEESES CAMP RD, NEESES, SC 29107-9428
(704) 661-4705
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
1117935
SC
101YM0800X
Mental Health Counselor
Primary
1117935
SC
101YP1600X
Pastoral Counselor
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Other
Enumeration date
08/24/2020
Last updated
04/11/2023
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