Individual
MR. JOHN RICHARD BREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDC
Contact information
Practice address
1901 N ESTHER ST, NEWBERG, OR 97132-9529
(503) 554-4314
Mailing address
PO BOX 180863, DALLAS, TX 75218-0863
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14240
TX
Other
Enumeration date
05/26/2022
Last updated
05/26/2022
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