Doctor Name: | MS. DORCAS FIELDSON BREM |
NPI Number: | 1245418169 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPCC |
License Number: | 156 |
Business Practice Address: | 318 N Broadway St Truth Or Consequences, NM - 879012834 |
Business Phone Number: | 5759377751 |
Business Fax Number: | |
Mailing Address: | 318 N Broadway St, TRUTH OR CONSEQUENCES |
State: | NM |
Postal Code: | 879012834 |
Phone Number: | 5759377751 |
Fax Number: | |
NPI Enumeration Date: | 02/01/2008 |
NPI Last Update Date: | 01/23/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 156 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | HI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |