Individual provider · NPI-1

John H Brennan IV, M.S.

Counselor, Mental Health · Ocala, FL

NPI number1801015185
StatusActive
Last updated in NPPESFeb 22, 2022

Details

NPI
1801015185
Entity type
Individual (NPI-1)
Name
Mr. John H Brennan IV
Credential
M.S.
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 24, 2007
Certification date
Feb 22, 2022
Last updated
Feb 22, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental HealthMT2850FLYes
106H00000X Marriage & Family TherapistMT2850FL

Practice location

4480 Ne 24th Ct
Ocala, FL 34479-8909

Phone 352-690-7399

Mailing address

4480 Ne 24th Ct
Ocala, FL 34479-8909

Phone 352-690-7399

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