Individual
MRS. BRENDA JOYCE SYPOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
730 PERSIMMON DR, ST CHARLES, IL 60174-1386
(630) 779-2145
(630) 377-5211
Mailing address
730 PERSIMMON DR, ST CHARLES, IL 60174-1386
(630) 779-2145
(630) 377-5211
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
149.008834
IL
Other
Enumeration date
04/10/2014
Last updated
04/10/2014
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