Individual
DOUGLAS CLYDE BREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LLP
Contact information
Practice address
220 WASHINGTON AVE, OSHKOSH, WI 54901-5030
(920) 236-4700
(920) 236-1157
Mailing address
220 WASHINGTON AVE, OSHKOSH, WI 54901-5030
(920) 236-4700
(920) 236-1157
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4871
WI
103TB0200X
Cognitive & Behavioral Psychologist
6301011664
MI
Other
Enumeration date
11/13/2006
Last updated
09/19/2016
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