Stacie L Brennecke

NPI #1033404033 in Bend, Oregon

Provider Information

NPI Number: 1033404033
Entity Type: Individual
Name: Stacie L Brennecke
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Jun 17, 2011
Last Updated: Jun 17, 2011

Practice Location

Address: 20370 POE SHOLES DR
City: Bend
State: Oregon
ZIP Code: 97701-7938
Phone: (541) 318-1377

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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