Provider Demographics
NPI:1245289271
Name:BRENNAN, ALISON SUZANNE (LMHC)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:SUZANNE
Last Name:BRENNAN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:ALISON
Other - Middle Name:SUZANNE
Other - Last Name:KAIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:201 E 11TH ST
Mailing Address - Street 2:
Mailing Address - City:SPENCER
Mailing Address - State:IA
Mailing Address - Zip Code:51301-4436
Mailing Address - Country:US
Mailing Address - Phone:712-262-2922
Mailing Address - Fax:712-262-3826
Practice Address - Street 1:315 1ST AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:ROCK RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:51246-1543
Practice Address - Country:US
Practice Address - Phone:712-472-9605
Practice Address - Fax:712-472-3587
Is Sole Proprietor?:No
Enumeration Date:2006-05-08
Last Update Date:2010-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA00941101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health