Healthcare Provider Details

I. General information

NPI: 1487596615
Provider Name (Legal Business Name): BRITNEY BRENNAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/07/2026
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3947 E CALVARY RD STE 104
DULUTH MN
55803-1310
US

IV. Provider business mailing address

4705 DODGE ST
DULUTH MN
55804-1518
US

V. Phone/Fax

Practice location:
  • Phone: 218-461-0464
  • Fax:
Mailing address:
  • Phone: 254-580-3547
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberCC4534
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: