Brenda Demenov
Individual provider Active NPI Mental Health Counselor · Stanton, MI
NPI 1083966337 · NPPES record last updated Oct 11, 2012
Key facts
- NPI
- 1083966337
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 611 N State St
Stanton, MI 48888-9702 - Phone
- (989) 831-7520
- NPI assigned
- Oct 11, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
611 N State St
Stanton, MI 48888-9702
Mailing address
611 N State St
Stanton, MI 48888-9702
Phone (989) 831-7520
Other providers in Stanton, MI
- Michelle Frances Davis-Vanarnam
- Shailyn Gayle Davis
- Jacob Henry Day
- Madalyn Jane Deason
- John Debiak
- Lyndsey M Deters
- Alyssa Elaine Dickinson
- Charity Ann Dillingham
- Carol Jean Dimet
- Maranda E Dittrich
All providers in Stanton, MI · Mental Health Counselor in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.