Most Relevant Information
Provider Data
| NPI Number: | 1003644790 |
| Provider Name: | BRENNA DICKSON |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/24/2024 |
| Last Updated: | 07/24/2024 |
Provider Practice Location
6201 PACIFIC AVE
TACOMA
WA
984087423
Practice Location Phone/Fax
| Phone: | 2533638853 |
| Fax: |
Provider Mailing Location
7316 65TH AVE W
LAKEWOOD
WA
984992364
Provider Mailing Phone/Fax
| Phone: | 6023508182 |
| Fax: |