Individual provider · Type 1 NPI
Jerrica Lee Brandenburg, LPCA, CADC
Mental Health Counselor · Irvine, KY
NPI number
1093450496
Active
Practice location
60 Mercy Ct
Irvine, KY 40336-1331
Mailing address
364 Broadway St
Irvine, KY 40336-1281
Other practice locations
- 364 Broadway St, Irvine, KY 40336-1281 · (859) 779-1492
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 246646 (KY) |
| Mental Health Counselor Primary | 101YM0800X | 275000 (KY) |
Mental Health Counselor: Definition to come...
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About NPI 1093450496
Jerrica Lee Brandenburg, LPCA, CADC's National Provider Identifier is 1093450496, issued on Apr 29, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Irvine, KY. The record was last updated on Apr 29, 2022.