Individual
BREANNA G WASHBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6107 LEWIS ST APT 7205, CHARLOTTE, NC 28262-0183
(207) 837-3020
Mailing address
6107 LEWIS ST APT 7205, CHARLOTTE, NC 28262-0183
(207) 837-3020
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A17031
NC
Other
Enumeration date
11/15/2021
Last updated
11/15/2021
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