Individual
MARA JORDEN BRENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
113 E BRIDGE ST STE D, WETUMPKA, AL 36092-2734
(334) 782-5565
Mailing address
49 BIRCHWOOD LN, WETUMPKA, AL 36093-1776
(509) 995-5229
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
STUDENT
—
163W00000X
Registered Nurse
RN61044061
WA
Other
Enumeration date
04/05/2022
Last updated
04/08/2025
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