Individual
BREEDEN HILLSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
101 E MAIN ST STE 208, MONROE, WA 98272-1519
(360) 485-0820
(949) 404-8981
Mailing address
19916 OLD OWEN RD # 152, MONROE, WA 98272-9778
(360) 485-0820
(949) 404-8981
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG61346774
WA
101Y00000X
Counselor
—
WA
Other
Enumeration date
10/06/2022
Last updated
10/06/2022
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