person
Breanne Enriquez, AA,SUDP
Addiction (Substance Use Disorder) Counselor in Longview, Washington
NPI 1528688504

Breanne Enriquez is an Addiction (Substance Use Disorder) Counselor based in Longview, WA and is specialized in Addiction (Substance Use Disorder). Breanne Enriquez practices in Longview, WA and has the professional credentials of AA,SUDP. The NPI Number for Breanne Enriquez is 1528688504 and holds a License No. CP61278775 (Washington).

The current practice location address for Breanne Enriquez is 748 14Th Ave, Longview, WA and can be reached out via phone at 360-200-5419 and via fax at 360-200-6736.

Location: 748 14Th Ave, Longview, WA, 98632
person
Provider Profile Details
NPI Number
1528688504
Provider Name
Breanne Enriquez
Credential
AA,SUDP
Provider Entity Type
Individual
Gender
Female
Address
748 14Th Ave, Longview, WA, 98632
Phone Number
360-200-5419
Fax Number
360-200-6736
Provider Enumeration Date
04/20/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2156340 05 WA
institution
Provider Business Practice Location Address Details
Address
748 14Th Ave
City
State
Zip
98632-2315
Phone Number
360-200-5419
Fax Number
360-200-6736
person
Provider Business Mailing Address Details
Address
748 14Th Ave
City
State
Zip
98632-2315
Phone Number
360-200-5419
Fax Number
360-200-6736
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CP61278775 (Washington)
Definition
Definition to come...
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