Individual
MELLESSA K BRENEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CI
Contact information
Practice address
1012 W MACARTHUR AVE, ODESSA, TX 79763-3341
(432) 580-2624
(432) 580-2609
Mailing address
401 E ILLINOIS AVE, MIDLAND, TX 79701-4803
(432) 570-3333
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
8987
TX
Other
Enumeration date
09/07/2011
Last updated
09/07/2011
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