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Individual

BRENDA C CHYNOWETH

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
450 LANIER RAOD, MADISON, AL 35758
(256) 774-4500
(256) 774-4573
Mailing address
2868 ACTON ROAD, BIRMINGHAM, AL 35243
(205) 968-8360
(205) 968-8373

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2102
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51519334
BCBS
AL
Enumeration date
05/24/2006
Last updated
07/08/2007
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