Individual
BREANA J BOHANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHR
Contact information
Practice address
560 W MAIN ST STE 203, LEWISVILLE, TX 75057
(469) 470-4870
Mailing address
4845 S SHERIDAN RD, SUITE 510, TULSA, OK 74145-5751
(918) 384-0002
(918) 384-0004
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
07/02/2007
Last updated
12/28/2018
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