Individual
MARSHA ANN BREESER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1635 MAPLE LN, ASHLAND, WI 54806-3610
(715) 685-5400
Mailing address
1635 MAPLE LANE, ASHLAND, WI 54806
(715) 685-5400
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15604-131
WI
101YP2500X
Professional Counselor
1608-226
WI
Other
Enumeration date
11/15/2012
Last updated
01/09/2013
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