Breland, Andrew J

Breland, Andrew J is an sole proprietor health care provider with primary practice located at 210 E Peace St , Canton MS 39046. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Breland, Andrew J can be contacted via phone (662) 883-0331.

Contact Information

Primary practice address
210 E Peace St Canton MS 39046
Phone: (662) 883-0331
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 2281 Mississippi
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 13744 Texas
Behavioral Health & Social Service Providers / Professional 101YP2500X 75012 Texas

Profile Details

NPI number 1013436062
LBN Legal business name Breland, Andrew J
Credentials MS, LPC, BC-TMH, NCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 11th, 2017
Last updated Oct 7th, 2019 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1013436062 NPPES
Texas MEDICAID 374571302

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