Individual
BRENN ROBERT GENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
130 CALO LN, LAKE OZARK, MO 65049-9208
(573) 365-2221
(573) 365-2224
Mailing address
130 CALO LN, LAKE OZARK, MO 65049-9208
(573) 365-2221
(573) 365-2224
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2007002250
MO
Other
Enumeration date
02/02/2007
Last updated
09/01/2010
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