Individual
EMILY MARIE BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
102 4TH ST, HILLSBORO, MO 63050-5043
(618) 877-4420
Mailing address
448 WYLIE DR, NORMAL, IL 61761-5405
(618) 512-1803
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
178.017759
IL
101YM0800X
Mental Health Counselor
Primary
2022040559
MO
101YP2500X
Professional Counselor
2022040559
MO
Other
Enumeration date
01/31/2022
Last updated
02/21/2024
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