Individual
REBECCA JO BREIMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSAC
Contact information
Practice address
514 WILSON AVE, SALT LAKE CITY, UT 84105-2912
(801) 359-8862
(801) 532-8820
Mailing address
514 WILSON AVE, SALT LAKE CITY, UT 84105-2912
(801) 359-8862
(801) 532-8820
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
7210783-6006
UT
Other
Enumeration date
10/29/2010
Last updated
10/29/2010
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