Individual
MRS. BRENDA B HANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW LISW LCDC III
Contact information
Practice address
652 SUPERIOR AVE, DAYTON, OH 45402-6303
(937) 228-7216
Mailing address
1830 BURROUGHS DR, DAYTON, OH 45406-4416
(937) 648-4495
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
011369
OH
1041C0700X
Clinical Social Worker
I0019560
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2272231
—
OH
Enumeration date
12/05/2005
Last updated
09/11/2025
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