Healthcare Provider Details

I. General information

NPI: 1265347413
Provider Name (Legal Business Name): MARSHA DRUNELL BRINSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

645 PENN ST FL 2
READING PA
19601-3543
US

IV. Provider business mailing address

645 PENN ST FL 2
READING PA
19601-3543
US

V. Phone/Fax

Practice location:
  • Phone: 610-507-4836
  • Fax:
Mailing address:
  • Phone: 610-507-4836
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberAPC002547
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberAPC002547
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: