Brenda Jean Mather
Counselor in Gladwin, MI. Individual provider (NPI-1).
NPI number1669949384
StatusActive
Last updated in NPPESOct 31, 2018
Details
- NPI
- 1669949384
- Entity type
- Individual (NPI-1)
- Name
- Brenda Jean Mather
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 31, 2018
- Last updated
- Oct 31, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | 6401014036 | MI | Yes |
| 101Y00000X | Counselor | 4076219 | MI |
Practice location
655 E Cedar AveGladwin, MI 48624-2215
Phone 989-426-9295 · Fax 989-426-2251
Mailing address
4166 Bay AveBeaverton, MI 48612-8819
Phone 989-435-3660
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