Provider Demographics
NPI:1700890787
Name:BRENDEL, JOHNSTON M (LPC, LMFT)
Entity Type:Individual
Prefix:DR
First Name:JOHNSTON
Middle Name:M
Last Name:BRENDEL
Suffix:
Gender:M
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 CANHAM RD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23185-3205
Mailing Address - Country:US
Mailing Address - Phone:804-833-0998
Mailing Address - Fax:
Practice Address - Street 1:213 N BOUNDARY ST
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23185-3666
Practice Address - Country:US
Practice Address - Phone:757-603-3788
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-28
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701002337101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional