Individual provider · Type 1 NPI

Stacie L. Brennecke

Counselor · Bend, OR

NPI number 1033404033 Active

Practice location

20370 Poe Sholes Dr
Bend, OR 97701-7938

Call (541) 318-1377 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1033404033

Stacie L. Brennecke's National Provider Identifier is 1033404033, issued on Jun 17, 2011. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Bend, OR. The record was last updated on Jun 17, 2011.