person
Mrs. Trista Faye Breitenbauch, SUDP
Mental Health Counselor in Vancouver, Washington
NPI 1124576418

Trista Faye Breitenbauch is a Mental Health Counselor based in Vancouver, WA and is specialized in Mental Health. Trista Faye Breitenbauch practices in Vancouver, WA and has the professional credentials of SUDP. The NPI Number for Trista Faye Breitenbauch is 1124576418 and holds a License No. CO 60255487 (Washington).

The current practice location address for Trista Faye Breitenbauch is 1601 E Fourth Plain Blvd Bldg 17, Vancouver, WA and can be reached out via phone at 360-605-7628.

Location: 1601 E Fourth Plain Blvd Bldg 17, Vancouver, WA, 98668-1678
person
Provider Profile Details
NPI Number
1124576418
Provider Name
Trista Faye Breitenbauch
Credential
SUDP
Provider Entity Type
Individual
Gender
Female
Address
1601 E Fourth Plain Blvd Bldg 17, Vancouver, WA, 98668-1678
Phone Number
360-605-7628
Fax Number
Provider Enumeration Date
09/14/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1601 E Fourth Plain Blvd Bldg 17
City
State
Zip
98661-3717
Phone Number
360-605-7628
Fax Number
person
Provider Business Mailing Address Details
Address
1601 E Fourth Plain Blvd Bldg 17
City
State
Zip
98661-3717
Phone Number
360-605-7628
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
CO 60255487 (Washington)
Definition
Definition to come...
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