Individual
CHERYL ANN BREAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC, CACIII
Contact information
Practice address
1333 IRIS AVE, BOULDER, CO 80304-2226
(303) 413-6200
Mailing address
765 39TH ST, BOULDER, CO 80303-2510
(303) 417-8820
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6312
CO
101YM0800X
Mental Health Counselor
3587
CO
Other
Enumeration date
05/18/2007
Last updated
09/11/2025
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