Individual provider · Type 1 NPI
Tammy Breault
Professional Counselor · St. Croix Falls, WI
NPI number
1902207012
Active
Practice location
2367 Beede Lake Trl
St. Croix Falls, WI 54024-7931
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 6219-125 (WI) |
Professional Counselor: Definition to come...
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About NPI 1902207012
Tammy Breault's National Provider Identifier is 1902207012, issued on Sep 8, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in St. Croix Falls, WI. The record was last updated on Oct 22, 2024.