Active NPIIndividual providerSole proprietor

Stacie L Brennecke

Counselor in Bend, Oregon

NPI Number1033404033
Practice location
20370 Poe Sholes Dr, Bend, OR 97701-7938
Fax
—
Last updated
June 17, 2011

Stacie L Brennecke is a Counselor based in Bend, OR. Stacie L Brennecke practices in Bend, OR. The NPI Number for Stacie L Brennecke is 1033404033. The current practice location address for Stacie L Brennecke is 20370 Poe Sholes Dr, Bend, OR 97701-7938 and can be reached out via phone at 541-318-1377.

Provider Profile Details

NPI Number
1033404033
Provider Name
Stacie L Brennecke
Provider Entity Type
Individual
Gender
Female
Address
20370 Poe Sholes Dr, Bend, OR 97701-7938
Phone Number
541-318-1377
Primary Taxonomy
Counselor · 101Y00000X
Sole Proprietor
Yes
Provider Enumeration Date
June 17, 2011
Last Update Date
June 17, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
20370 Poe Sholes Dr
Bend, OR 97701-7938
City
Bend
State
Oregon
Zip
97701-7938
Phone Number
541-318-1377
Bend, OR 97701Get directions →

Provider Business Mailing Address Details

Address
20370 Poe Sholes Dr
Bend, OR 97701-7938
City
Bend
State
OR
Zip
97701-7938
Phone Number
541-318-1377

License Information

Taxonomy
Counselor · 101Y00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Stacie L Brennecke?

The NPI number of Stacie L Brennecke is 1033404033. It was assigned on June 17, 2011 and is currently active in the NPPES registry.

What is the specialty of Stacie L Brennecke?

Stacie L Brennecke is registered under the primary taxonomy Counselor (code 101Y00000X).

Where does Stacie L Brennecke practice?

The practice location is 20370 Poe Sholes Dr, Bend, OR 97701-7938. The office can be reached at 541-318-1377 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033404033 directly on the NPPES registry website.

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