Individual
CONSTANCE BRENNEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
2814 FRANKLIN ST, MICHIGAN CITY, IN 46360-6140
(219) 872-1500
Mailing address
PO BOX 8852, MICHIGAN CITY, IN 46361-8852
(219) 872-1500
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39000255
IN
Other
Enumeration date
10/20/2006
Last updated
07/08/2007
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