Doctor Name: | MS. PENNY ANDERSON-BRESLIN |
NPI Number: | 1568698801 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, NCC, NCLPC |
License Number: | 6711 |
Business Practice Address: | 306 E Red Cross Rd Oakboro, NC - 281297202 |
Business Phone Number: | 7044853012 |
Business Fax Number: | |
Mailing Address: | 306 E Red Cross Rd, OAKBORO |
State: | NC |
Postal Code: | 281297202 |
Phone Number: | 7044853012 |
Fax Number: | |
NPI Enumeration Date: | 06/01/2009 |
NPI Last Update Date: | 06/01/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 6711 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |