Individual
COURTNEY CARYL BREYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LADC, LPCC
Contact information
Practice address
1701 AMERICAN BLVD E STE 4, BLOOMINGTON, MN 55425-1402
(612) 676-1604
(612) 379-8235
Mailing address
1701 AMERICAN BLVD E STE 4, BLOOMINGTON, MN 55425-1402
(612) 676-1604
(612) 379-8235
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
305032
MN
101YM0800X
Mental Health Counselor
Primary
2521
MN
Other
Enumeration date
06/17/2020
Last updated
06/17/2020
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