Individual
SHANNON CHRISTINE BREITENSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
3920 GLASS RD NE APT B, CEDAR RAPIDS, IA 52402-2508
(319) 361-4248
Mailing address
1022 S MILL ST, DECORAH, IA 52101-2432
(319) 361-4248
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
090759
IA
Other
Enumeration date
10/01/2020
Last updated
09/29/2024
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