Individual
KRISTA RENEE BRENNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., L.P.C., L.A.DC
Contact information
Practice address
11191 ABERDEEN ST NE UNIT D, BLAINE, MN 55449-6027
(651) 983-4616
Mailing address
11191 ABERDEEN ST NE UNIT D, BLAINE, MN 55449-6027
(651) 983-4616
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
302125
MN
101YM0800X
Mental Health Counselor
00727
MN
Other
Enumeration date
06/06/2011
Last updated
06/06/2011
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