Individual
BRIEANNA TYCHELLE HENNINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
702 W MAIN ST, MADISON, WI 53715-1424
(608) 444-1372
Mailing address
2454 HIGH RIDGE TRL APT 202, FITCHBURG, WI 53713-3681
(317) 200-6392
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/11/2020
Last updated
03/11/2020
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