Individual
BREANNA HENDRICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6165 NW 86TH ST, JOHNSTON, IA 50131-2240
(515) 329-4792
Mailing address
430 HARTFORD AVE, DES MOINES, IA 50315-1358
(708) 203-2127
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
080127
IA
Other
Enumeration date
10/26/2015
Last updated
02/24/2026
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