Individual
MS. BREELYND EGGLESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., LMHC
Contact information
Practice address
236 EAST MAIN STREET, RICHFIELD SPRINGS, NY 13439
(315) 219-6722
Mailing address
PO BOX 569, RICHFIELD SPRINGS, NY 13439-0569
(315) 219-6722
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
006015-1
NY
101YM0800X
Mental Health Counselor
Primary
006015-1
NY
101YP2500X
Professional Counselor
006015-1
NY
Other
Enumeration date
11/03/2017
Last updated
11/03/2017
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