Individual
BREANNA PAQUETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., LPC, LADC
Contact information
Practice address
1700 W BRITTON RD, OKLAHOMA CITY, OK 73120-1312
(405) 317-1736
Mailing address
8201 CINNAMON TEAL DR, OKLAHOMA CITY, OK 73132-3348
(405) 317-1736
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1007
OK
101YM0800X
Mental Health Counselor
4460
OK
101YP2500X
Professional Counselor
Primary
4460
OK
Other
Enumeration date
12/10/2010
Last updated
02/07/2013
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