Individual
BRENDA M. ENDTHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSAC
Contact information
Practice address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2940
(608) 756-6508
(608) 741-6962
Mailing address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2940
(608) 756-6508
(608) 741-6962
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15921-131
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16082-132
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619373495
BCBSWI
WI
05
—
1619373495
—
WI
01
—
3772
MERCYCARE INSURANE
WI
Enumeration date
11/06/2014
Last updated
12/09/2020
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