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Mrs. Brenda L Ticknor, LIMHP,LMHC,SADC,L
Mental Health Counselor in Council Bluffs, Iowa
NPI 1093982118

Brenda L Ticknor is a Mental Health Counselor based in Council Bluffs, IA and is specialized in Mental Health. Brenda L Ticknor practices in Council Bluffs, IA and has the professional credentials of LIMHP,LMHC,SADC,L. The NPI Number for Brenda L Ticknor is 1093982118 and holds a License No. 4316 (Iowa).

The current practice location address for Brenda L Ticknor is 427 E. Kanesville Blvd., Council Bluffs, IA and can be reached out via phone at 402-616-9876 and via fax at 712-355-5120.

Location: 427 E. Kanesville Blvd., Council Bluffs, IA, 51501-7407
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Provider Profile Details
NPI Number
1093982118
Provider Name
Brenda L Ticknor
Credential
LIMHP,LMHC,SADC,L
Provider Entity Type
Individual
Gender
Female
Address
427 E. Kanesville Blvd., Council Bluffs, IA, 51501-7407
Phone Number
402-616-9876
Fax Number
712-355-5120
Provider Enumeration Date
05/08/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9295 01 NE PLMHP
814 01 NE LADC
institution
Provider Business Practice Location Address Details
Address
427 E. Kanesville Blvd.
City
State
Zip
51503-4499
Phone Number
402-616-9876
Fax Number
712-355-5120
person
Provider Business Mailing Address Details
Address
427 E. Kanesville Blvd.
City
State
Zip
51503-4499
Phone Number
402-616-9876
Fax Number
712-355-5120
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
2098 (Nebraska)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
814 (Nebraska)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
4316 (Nebraska)
Definition
Definition to come...
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