Individual
STEPHANIE BREEDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SST
Contact information
Practice address
1206 CLINTON RD, JACKSON, MI 49202-2005
(517) 388-5368
Mailing address
1206 CLINTON RD, JACKSON, MI 49202-2005
(517) 388-5368
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6803086645
MI
Other
Enumeration date
07/22/2015
Last updated
07/22/2015
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