Individual
BRENDA E COMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW,LCAC
Contact information
Practice address
2912 W 84TH PL, MERRILLVILLE, IN 46410-7288
(219) 670-0365
Mailing address
2912 W 84TH PL, MERRILLVILLE, IN 46410-7288
(219) 670-0365
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
223945422
—
IN
Enumeration date
06/14/2021
Last updated
06/16/2021
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