Individual provider · Type 1 NPI

Brenda Dee Tanner, LPC

Mental Health Counselor · Clayton, NM

NPI number 1366596363 Active

Practice location

103 Walnut St
Clayton, NM 88415-3049

Fax (505) 374-0158

Mailing address

PO Box 773
Stratford, TX 79084-0773

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XT-0099551 (NM)

Mental Health Counselor: Definition to come...

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About NPI 1366596363

Brenda Dee Tanner, LPC's National Provider Identifier is 1366596363, issued on Jan 23, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Clayton, NM. The record was last updated on Jul 8, 2007.