Annette Garry Brehm, LCSW
Counselor, Mental Health in Lafayette, IN. Individual provider (NPI-1).
NPI number1235409459
StatusActive
Last updated in NPPESJan 4, 2012
Details
- NPI
- 1235409459
- Entity type
- Individual (NPI-1)
- Name
- Annette Garry Brehm
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 4, 2012
- Last updated
- Jan 4, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 34005363A | IN | Yes |
Practice location
615 N 18th StLafayette, IN 47904-3434
Phone 765-423-5361
Mailing address
615 N 18th StLafayette, IN 47904-3434
Phone 765-423-5361
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