Individual
SUSAN CAROL BRENNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
18510 HIGHWAY 371 SUITE D, BRAINERD, MN 56401
(218) 833-2012
Mailing address
11125 GULL RIVER RD, BRAINERD, MN 56401-3180
(218) 833-2012
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1153
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123L9BR
BLUE CROSS
MN
05
—
371229000
—
MN
Enumeration date
09/13/2006
Last updated
04/01/2024
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