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Provider Information for 1184014490


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BREE LAROY MAY MSW, LMHC


Sex: Female

NPI: 1184014490
Last Updated: 2024-08-16
Certification Date: 2024-08-16

Details

NameValue
NPI1184014490
Enumeration Date2015-01-26
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 145 E 3RD ST
NORTH BEND, WA 98045-8144
United States

Phone: 412-398-4948 | Fax:
 
Primary Practice Address 145 E 3RD ST
NORTH BEND, WA 98045-8144
United States

Phone: 412-398-4948 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YM0800X - Counselor - Mental HealthWALH60769532