Individual
TRACIE ERIN BREN-CLEGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-MH
Contact information
Practice address
611 DAHL RD STE 8, SPEARFISH, SD 57783-2739
(605) 641-7534
Mailing address
611 DAHL RD STE 8, SPEARFISH, SD 57783-2739
(605) 641-7534
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC-MH20366
SD
101YP2500X
Professional Counselor
Primary
LPC-MH20366
SD
Other
Enumeration date
10/03/2007
Last updated
05/15/2023
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