Individual
BREANN ARTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC, LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1352
CT
1041C0700X
Clinical Social Worker
Primary
11933
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004082260
—
CT
05
—
008001325
—
CT
05
—
008022622
—
CT
05
—
008056033
—
CT
05
—
008092829
—
CT
Enumeration date
01/03/2020
Last updated
01/24/2022
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