Individual
MS. KATHLEEN MARIE BREADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4950 PARK RD, CHARLOTTE, NC 28209-3506
(704) 523-4881
(704) 523-4854
Mailing address
4402 OVERBECKS LN, WAXHAW, NC 28173-6957
(724) 962-7608
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6741
NC
Other
Enumeration date
05/18/2006
Last updated
10/09/2012
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