Individual
MADELINE BRENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6133 NEWPORT AVE, SAINT LOUIS, MO 63116-2924
(636) 236-3557
Mailing address
6133 NEWPORT AVE, SAINT LOUIS, MO 63116-2924
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2017031124
MO
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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