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NPI Code Detail

MEDICARE: MS. BRENDA A GARRETT RN.,MC.,LPC

MEDICARE: MS. BRENDA A GARRETT RN.,MC.,LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselorLPC1833AZ

General Provider Information

NPI Number : 1912052341
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. BRENDA A GARRETT RN.,MC.,LPC
Provider Business Mailing Address
First Line : 7001 E MCDONALD DR
Second Line :
City : PARADISE VALLEY
State : AZ
Zip : 85253-5328
Country : US
Telephone Number : 480-570-9642
Fax Number :
Provider Business Practice Location Address
First Line : 7530 E ANGUS DR
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85251-6410
Country : US
Telephone Number : 480-947-5739
Fax Number : 480-946-7795
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2007
Last Update Date : 07/08/2007

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