Individual provider · Type 1 NPI

Brenna Kristin-Liesma Kind, LMSW, CCS-DP, CAADC

Addiction (Substance Use Disorder) Counselor · Gladwin, MI

NPI number 1669124715 Active

Practice location

1302 Chatterton St
Gladwin, MI 48624-1804

Mailing address

1302 Chatterton St Unit 2
Gladwin, MI 48624-1804

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X6801120643 (MI)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XC05187 (MI)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1669124715

Brenna Kristin-Liesma Kind, LMSW, CCS-DP, CAADC's National Provider Identifier is 1669124715, issued on Jan 20, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Gladwin, MI. The record was last updated on Mar 11, 2026.