Provider Demographics
NPI:1659957181
Name:DAHLHOFF, BRENDA JOANNE (MS, LPC, NCC)
Entity Type:Individual
Prefix:
First Name:BRENDA
Middle Name:JOANNE
Last Name:DAHLHOFF
Suffix:
Gender:F
Credentials:MS, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 SW 101ST RD
Mailing Address - Street 2:
Mailing Address - City:WARRENSBURG
Mailing Address - State:MO
Mailing Address - Zip Code:64093-8138
Mailing Address - Country:US
Mailing Address - Phone:660-864-4169
Mailing Address - Fax:
Practice Address - Street 1:1302 S MAGUIRE ST
Practice Address - Street 2:
Practice Address - City:WARRENSBURG
Practice Address - State:MO
Practice Address - Zip Code:64093-8617
Practice Address - Country:US
Practice Address - Phone:816-622-3171
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-23
Last Update Date:2021-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2017027425101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional