Provider Demographics
NPI:1689169393
Name:YUEN, BRENDA LOUISE (LGPC)
Entity Type:Individual
Prefix:MRS
First Name:BRENDA
Middle Name:LOUISE
Last Name:YUEN
Suffix:
Gender:F
Credentials:LGPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5570 STERRETT PL STE 305
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-2654
Mailing Address - Country:US
Mailing Address - Phone:443-485-5473
Mailing Address - Fax:888-362-0278
Practice Address - Street 1:5570 STERRETT PL STE 305
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-2654
Practice Address - Country:US
Practice Address - Phone:443-485-5473
Practice Address - Fax:888-362-0278
Is Sole Proprietor?:No
Enumeration Date:2018-06-25
Last Update Date:2018-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP8282101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional