Pedersen, Breanne Ashly

Pedersen, Breanne Ashly is an sole proprietor health care provider with primary practice located at 265 Stonegate Rd Ste 102 , Algonquin IL 60102-5614. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Pedersen, Breanne Ashly can be contacted via phone (224) 678-9180.

Contact Information

Primary practice address
265 Stonegate Rd Ste 102 Algonquin IL 60102-5614
Phone: (224) 678-9180
Fax: (224) 678-9369
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 178015896 Illinois
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 178015896 Illinois

Profile Details

NPI number 1003433715
LBN Legal business name Pedersen, Breanne Ashly
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 29th, 2020
Last updated Sep 18th, 2023 - about last year

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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