Individual
SHELBY BREBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
4050 BOWLING ST SW, CEDAR RAPIDS, IA 52404-5005
(319) 862-1050
Mailing address
3330 EMERSON AVE NE, CEDAR RAPIDS, IA 52411-6517
(319) 537-0223
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/23/2020
Last updated
11/27/2023
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