Individual
TAMMY BREAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2367 BEEDE LAKE TRL, SAINT CROIX FALLS, WI 54024-7931
(715) 553-0159
Mailing address
2367 BEEDE LAKE TRL, SAINT CROIX FALLS, WI 54024-7931
(715) 553-0159
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6219-125
WI
Other
Enumeration date
09/08/2014
Last updated
10/22/2024
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