Individual
MRS. BRENDA LEE DESMARAIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
452 JEROME RD, DURHAM, NC 27713-1290
(919) 937-9199
Mailing address
452 JEROME RD, DURHAM, NC 27713-1290
(919) 937-9199
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
116
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30008688
—
NH
Enumeration date
02/11/2008
Last updated
06/28/2013
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