Provider Demographics
NPI:1376979914
Name:SEED, BRENNEN BOSEMAN (LPC)
Entity Type:Individual
Prefix:
First Name:BRENNEN
Middle Name:BOSEMAN
Last Name:SEED
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:BRENNEN
Other - Middle Name:BOSEMAN
Other - Last Name:SEED
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:14398 JAMES RIVER RD
Mailing Address - Street 2:
Mailing Address - City:LOVINGSTON
Mailing Address - State:VA
Mailing Address - Zip Code:22949-2341
Mailing Address - Country:US
Mailing Address - Phone:503-317-5153
Mailing Address - Fax:
Practice Address - Street 1:14398 JAMES RIVER RD
Practice Address - Street 2:
Practice Address - City:LOVINGSTON
Practice Address - State:VA
Practice Address - Zip Code:22949-2341
Practice Address - Country:US
Practice Address - Phone:503-317-5153
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-14
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701010703101YP2500X
ORC2703101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional