# MRS. BREANNE TERESA PASSALACQUA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1275921629
- **Gender:** F
- **Credential:** M.A.,LPC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | 6401225133 | MI | Yes |
| 171M00000X | Case Manager/Care Coordinator | 6301016145 | MI | Yes |

## Other

- **Enumeration date:** 01/07/2015
- **Last updated:** 02/15/2026