STACIE BRENNECKE

Counselor

Active Individual
NPI: 1033404033

Practice Address

20370 POE SHOLES DR
Bend, OR 97701

Phone: (541) 318-1377

Specialties

Specialty Code Primary License
Counselor 101Y00000X Yes -

Frequently Asked Questions

NPI 1033404033 is the National Provider Identifier for STACIE BRENNECKE, a Counselor provider located in Bend, OR. This NPI was enumerated on June 17, 2011.
STACIE BRENNECKE practices at 20370 POE SHOLES DR, Bend, OR 97701.

Quick Facts

NPI
1033404033
Type
Individual
Enumerated
Jun 17, 2011
Last Updated
Jun 17, 2011

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