Individual
ANDREW J BRELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, MPAS, LPC, PA-C
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
13744
TX
101YP2500X
Professional Counselor
2281
MS
101YP2500X
Professional Counselor
75012
TX
363AM0700X
Medical Physician Assistant
Primary
PA19080
TX
363AS0400X
Surgical Physician Assistant
PA19080
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
374571302
—
TX
Enumeration date
09/11/2017
Last updated
04/30/2025
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