Individual
BRENDA ROYAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
621 W MADRONE ST, ROSEBURG, OR 97470-3090
(541) 440-3532
(541) 440-3554
Mailing address
PO BOX 1121, ROSEBURG, OR 97470-0254
(541) 440-3532
(541) 440-3554
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C6046
OR
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
12/11/2015
Last updated
12/16/2024
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