Individual
MATTHEW ROBERT BREESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
9 VICTORY DR STE 3, LIBERTY, MO 64068-1967
(816) 268-8501
Mailing address
PO BOX 28065, KANSAS CITY, MO 64188-0065
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2019037063
MO
Other
Enumeration date
11/22/2021
Last updated
11/22/2021
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