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General NPI Number Information
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NPI Number | 1386345684
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Entity Type | Organization
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Legal Business Name | BRENNAN BEHAVIORAL GROUP PLLC
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Dates
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Enumeration Date | 03/14/2023
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Last Update Date | 03/14/2023
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Provider Practice Location Address
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Address Line | 5854 TROTTER LN
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48322-1635
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Country | US
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Telephone | 248-396-4388
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Fax |
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Provider Business Mailing Address
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Address Line | 5854 TROTTER LN
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48322-1635
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Country | US
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Telephone | 248-396-4388
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | ASHLI BRENNAN
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Credential | LPC
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Telephone | 312-967-6619
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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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