Sherry Brendalen in Pontiac - Mental Health
Sherry Brendalen - NPI 1518162676
Sherry Brendalen is a Mental Health in Pontiac, Illinois. Sherry Brendalen practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Sherry Brendalen is 1518162676. The last update date is 2021-11-11.
Sherry Brendalen's current location address is 920 W Custer Ave, Pontiac, Illinois. You can contact this provider via phone number 8158446109 and fax number 8158443561. The mailing address for Sherry Brendalen is 920 W Custer Ave, Pontiac, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sherry Brendalen |
|---|---|
| Address | 920 W Custer Ave, Pontiac, Illinois |
| Phone Number | 8158446109 |
| Fax Number | 8158443561 |
| Sole Proprietor | N |
| Credentials | LPC |
NPI Number Detail
| NPI Number | 1518162676 |
|---|---|
| Provider Enumeration Date | 2007-06-19 |
| Last Updated Date | 2021-11-11 |
Provider Mailing Address Detail
| Address | 920 W Custer Ave |
|---|---|
| City | Pontiac |
| State | Illinois (IL) |
| Post Code | 617641067 |
| Phone Number | 8158446109 |
| Fax Number | 8158443561 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 180-006484 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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What is the unique identifier code issued to Sherry Brendalen by the Centers for Medicare & Medicaid Services (CMS)?
The Sherry Brendalen has been assigned the NPI (National Provider Identifier) 1518162676. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Sherry Brendalen located?
The Sherry Brendalen is located at 920 W Custer Ave, Pontiac, IL 617641067.
What is Sherry Brendalen's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Sherry Brendalen is Mental Health, and the taxonomy classification code that categorizes this area of expertise is 101Ym0800X.
When did Sherry Brendalen receive its 1518162676 assignment?
The Sherry Brendalen was assigned its 1518162676 on 2007-06-19, which is the date when this unique identifier was issued to the organization.
When was the information regarding Sherry Brendalen most recently updated?
The details pertaining to the Sherry Brendalen, including its address, specialty, and other relevant information, were last refreshed on 2021-11-11.
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