Individual
MRS. BRETTA O'ROURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, MS, CLC
Contact information
Practice address
2016 GRANT PL APT 102, MELBOURNE, FL 32901-5471
(740) 541-7244
Mailing address
2016 GRANT PL APT 102, MELBOURNE, FL 32901-5471
(740) 541-7244
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
174N00000X
Lactation Consultant (Non-RN)
—
—
Other
Enumeration date
07/27/2020
Last updated
07/28/2020
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