Individual
BRENDA PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TCADC
Contact information
Practice address
409 11TH ST, SIOUX CITY, IA 51105-1332
(712) 560-7045
Mailing address
409 11TH ST, SIOUX CITY, IA 51105-1332
(712) 560-7045
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T17096
IA
Other
Enumeration date
11/09/2017
Last updated
11/09/2017
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