| NPI | 1780008342 |
|---|---|
| Former Name | BRENDEN EUGENE DIX |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM 0181451) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NM T-0164301) |
| 101YP2500X Counselor, Professional (Licence: CO 0013284) | |
| 101YP2500X Counselor, Professional (Licence: MT BBH-LCPC-LIC-43089) | |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2022-07-19 |