Individual
MRS. HEATHER ADDISON BREESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5001 CR WOOD RD, GASTONIA, NC 28056-8919
(704) 862-0095
Mailing address
5001 CR WOOD RD, GASTONIA, NC 28056-8919
(704) 862-0095
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10522
NC
Other
Enumeration date
05/12/2014
Last updated
05/12/2014
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