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Individual

ADAM BREISTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1451 ELM HILL PIKE STE 250, NASHVILLE, TN 37210-4579
(920) 266-5407
Mailing address
910 CLUB PKWY, NASHVILLE, TN 37221-1935
(920) 266-5407

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5115
TN
101YP2500X
Professional Counselor
5115
TN

Other

Enumeration date
07/07/2020
Last updated
07/07/2020
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