Individual provider · Type 1 NPI

Taylor Shae Brenneise, MA

Mental Health Counselor · Lakewood, WA

NPI number 1760081004 Active

Practice location

9330 59th Ave SW
Lakewood, WA 98499-2858

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XCM60473396 (WA)

Mental Health Counselor: Definition to come...

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About NPI 1760081004

Taylor Shae Brenneise, MA's National Provider Identifier is 1760081004, issued on Oct 19, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lakewood, WA. The record was last updated on Oct 19, 2020.