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Individual
MR. MICHAEL PAUL BREITENBACH
Active
Individual
MR. MICHAEL PAUL BREITENBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
PC005676
PA
Other
Enumeration date
02/08/2011
Last updated
02/08/2011
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