Individual
MRS. BRENDA Y. AVERETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.,L.S.W.
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401003040
MI
101YS0200X
School Counselor
SC0000229
MI
104100000X
Social Worker
6802059684
MI
Other
Enumeration date
05/12/2009
Last updated
05/12/2009
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