| Doctor Name: | STACIE BRETHAUER |
| NPI Number: | 1871982892 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 70 W Beaver St Zelienople, PA - 160631582 |
| Business Phone Number: | 7244524453 |
| Business Fax Number: | 7244526576 |
| Mailing Address: | 220 S Main St, Suite 306 BUTLER |
| State: | PA |
| Postal Code: | 160015987 |
| Phone Number: | 7242839436 |
| Fax Number: | 7242829759 |
| NPI Enumeration Date: | 01/14/2015 |
| NPI Last Update Date: | 01/14/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |