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General NPI Number Information
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NPI Number | 1043581911
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Entity Type | Individual
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Provider Name | VALERIE ANNE BRENNEMAN LPC
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Gender | Female
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Dates
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Enumeration Date | 01/24/2012
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Last Update Date | 01/03/2020
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Provider Practice Location Address
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Address Line | 5745 W. MAPLE RD. SUITE 202
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48322
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Country | US
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Telephone | 248-862-5110
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Fax | 844-893-1355
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Provider Business Mailing Address
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Address Line | 1405 FARMRIDGE
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City | WATERFORD
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State | MI
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Zip | 48328
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Country | US
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Telephone | 248-785-7208
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 6401013071
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License Number State | MI
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