Individual
BREANNA MAUREEN MCMILLAN CONDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LMHC
Contact information
Practice address
495 PROSPERITY LAKE DR # 101, ST AUGUSTINE, FL 32092-5045
(904) 370-3420
Mailing address
495 PROSPERITY LAKE DR # 101, ST AUGUSTINE, FL 32092-5045
(718) 715-2400
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
IMH23990
FL
101YM0800X
Mental Health Counselor
Primary
MH25818
FL
Other
Enumeration date
05/12/2023
Last updated
06/03/2025
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