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Individual

BREANN LOPRESTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BS, BHT

Contact information

Practice address
17505 N 79TH AVE STE 105, GLENDALE, AZ 85308-8724
(602) 989-8899
(602) 900-0969
Mailing address
17505 N 79TH AVE STE 105, GLENDALE, AZ 85308-8724
(602) 989-8899
(602) 900-0969

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
BSBHT
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1043982747
HEALING HARTZE ORGANIZATION NPI
AZ
05
125011
AZ
01
1740851542
JANUARY HARTZE INDIVIDUAL NPI
AZ
05
203827
AZ
Enumeration date
08/09/2024
Last updated
08/09/2024
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