Individual
DR. BREYAN HAIZLIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LPC
Contact information
Practice address
12813 EMERALD RIDGE BLVD E, PUYALLUP, WA 98374-8402
(360) 788-3935
Mailing address
12813 EMERALD RIDGE BLVD E, PUYALLUP, WA 98374-8402
(360) 788-3935
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC008299
GA
101YM0800X
Mental Health Counselor
LPC008299
GA
101YP2500X
Professional Counselor
Primary
LPC008299
GA
106H00000X
Marriage & Family Therapist
LPC008299
GA
Other
Enumeration date
04/01/2022
Last updated
04/01/2022
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