Individual
BRENDA LEA MINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
2116 W. FAIDLEY AVE., GRAND ISLAND, NE 68803
(308) 398-5435
(308) 398-5151
Mailing address
1430 N NORTH RD, GRAND ISLAND, NE 68803-2935
(308) 398-5435
(308) 398-5151
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
057
NE
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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