Individual
LEONARD ANDREW BRENNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, LCAS
Contact information
Practice address
2074 S 6TH ST, KLAMATH FALLS, OR 97601
(541) 851-8110
Mailing address
2074 S 6TH ST, KLAMATH FALLS, OR 97601-3372
(541) 851-8110
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
21265
NC
101YM0800X
Mental Health Counselor
10804
—
101YP2500X
Professional Counselor
Primary
10804
NC
101YP2500X
Professional Counselor
C4915
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170061
—
OR
Enumeration date
01/10/2016
Last updated
08/27/2018
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