Breeden, Monta Annette

Breeden, Monta Annette is an individual health care provider with primary practice located at 650 Joel Dr , Fort Campbell KY 42223-5318. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Breeden, Monta Annette can be contacted via phone (270) 798-8400.

Contact Information

Primary practice address
650 Joel Dr Fort Campbell KY 42223-5318
Phone: (270) 798-8400
Fax: (270) 798-8224
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X KY-3190 Kentucky
Behavioral Health & Social Service Providers / Social Worker 104100000X KY-3190 Kentucky
Behavioral Health & Social Service Providers / Social Worker 104100000X 005085 Missouri

Profile Details

NPI number 1508192287
LBN Legal business name Breeden, Monta Annette
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2009
Last updated Nov 19th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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