Individual
BREANNE WILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, NCC, CCM
Contact information
Practice address
7560 RANGEWOOD DR STE 210, COLORADO SPRINGS, CO 80920-2100
(719) 659-1915
(888) 425-0383
Mailing address
8756 DEL RIO RD, PEYTON, CO 80831-6799
(719) 659-1915
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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