Organization · Type 2 NPI

Breakaway Mental Health, PLLC

Professional Counselor · Stillwater, OK

NPI number 1235969007 Active

Practice location

116 W 7th Ave Ste 324
Stillwater, OK 74074-4018

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

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About NPI 1235969007

Breakaway Mental Health, PLLC's National Provider Identifier is 1235969007, issued on Aug 6, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Stillwater, OK. The record was last updated on Aug 6, 2024.