Individual
BRENDA MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
908 N 3RD ST, MONROE, LA 71201-5844
(318) 325-8748
Mailing address
908 N 3RD ST, MONROE, LA 71201-5844
(318) 325-8748
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PLC6110
LA
104100000X
Social Worker
7281
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7281
LABSWE
LA
01
—
PLC6110
LPC BOARD OF EXAMINERS
LA
Enumeration date
10/01/2015
Last updated
12/06/2018
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