Provider Information for 1578363131
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Mrs. BRENDA KAY SALLEE LMFT
Sex: Female
NPI: 1578363131
Last Updated: 2025-03-13
Certification Date: 2025-03-13
Certification Date: 2025-03-13
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1578363131 | ||||||||
| Enumeration Date | 2025-03-13 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 4927 CEDAR CREEK CT PACE, FL 32571-8037 United States Phone: 850-293-0031 | Fax: | ||||||||
| Primary Practice Address | 4400 BAYOU BLVD STE 41C PENSACOLA, FL 32503-1911 United States Phone: 850-293-0031 | Fax: | ||||||||
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