Jerrica Lee Brandenburg, LPCA, CADC

NPI #1093450496 in Irvine, Kentucky

Provider Information

NPI Number: 1093450496
Entity Type: Individual
Name: Jerrica Lee Brandenburg, LPCA, CADC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: LPCA, CADC
Enumeration Date: Apr 29, 2022
Last Updated: Apr 29, 2022

Practice Location

Address: 60 MERCY CT
City: Irvine
State: Kentucky
ZIP Code: 40336-1331
Phone: (859) 779-1492

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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