Dustin Brenske

Individual provider Active NPI Mental Health Counselor · Sequim, WA

NPI 1831520550 · NPPES record last updated Apr 27, 2014

Key facts

NPI
1831520550
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
LH 60424379 (WA)
Practice address
91 Patriot Way
Unit 2
Sequim, WA 98382-8452
Phone
(360) 460-5947
NPI assigned
Dec 5, 2013
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
LH 60424379WAMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH 60424379 WA Yes

Addresses

Primary practice location

91 Patriot Way
Unit 2
Sequim, WA 98382-8452

Mailing address

91 Patriot Way
Unit 2
Sequim, WA 98382-8452
Phone (360) 460-5947

Other providers in Sequim, WA

All providers in Sequim, WA · Mental Health Counselor in Washington

Sources for this page

Verify at the official NPI Registry.