Individual
BREANNE WILLEY
Active
Individual
BREANNE WILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, NCC, CCM
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
17649
AZ
101YP2500X
Professional Counselor
Primary
6225
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316580681
—
CO
Enumeration date
10/19/2019
Last updated
04/05/2021
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