Individual
CARISSA LYNN BREDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
463142 STATE ROAD 200, YULEE, FL 32097-5554
(904) 225-8280
(904) 225-8232
Mailing address
463142 STATE ROAD 200, YULEE, FL 32097-5554
(904) 225-8280
(904) 225-8232
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH17642
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MH17642
LICENSED MENTAL HEALTH COUNSELOR
FL
Enumeration date
11/26/2017
Last updated
01/14/2020
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