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General NPI Number Information
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NPI Number | 1386881043
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Entity Type | Individual
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Provider Name | TERRY DANIEL BRENNER M.S., LPCC-MHSP
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Gender | Male
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Dates
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Enumeration Date | 01/15/2009
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 720 ESKENAZI AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46202-5187
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Country | US
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Telephone | 317-880-7666
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 637764
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City | CINCINNATI
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State | OH
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Zip | 45263-7764
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Country | US
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Telephone | 317-880-3939
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 39000547A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 261338
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC0000002204
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License Number State | TN
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