Provider Demographics
NPI:1609330307
Name:PARISH, BRENDA (MA, LMHCA)
Entity Type:Individual
Prefix:
First Name:BRENDA
Middle Name:
Last Name:PARISH
Suffix:
Gender:F
Credentials:MA, LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 JADWIN AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-3430
Mailing Address - Country:US
Mailing Address - Phone:509-412-4368
Mailing Address - Fax:
Practice Address - Street 1:1201 JADWIN AVE STE 102
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-3430
Practice Address - Country:US
Practice Address - Phone:509-412-4368
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-27
Last Update Date:2021-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC61176432101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health