Search › Michigan › 101YM0800X
Brenden Tudor, LLPC, AT
NPI 1003277674 · on the registry since 2016 · sole proprietor
Practice
- Address
- 1611 Oak Ave
Muskegon, MI 49442 - Phone
- (231) 767-1921
- Organisation at this address
- Cherry Street Services Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 21
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 2255A2300X
2255A2300X
390200000X - Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-11-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan