| Breanne Enriquez, AA, SUDP | |
|
748 14th Ave, Longview, WA 98632-2315 | |
| (360) 200-5419 | |
| (360) 200-6736 |
| Full Name | Breanne Enriquez |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 748 14th Ave, Longview, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528688504 | NPI | - | NPPES |
| 2156340 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CP61278775 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Breanne Enriquez, AA, SUDP Po Box 2394, Longview, WA 98632 Ph: (360) 200-5419 | Breanne Enriquez, AA, SUDP 748 14th Ave, Longview, WA 98632-2315 Ph: (360) 200-5419 |
Mohammed Yunus, Counselor Medicare: Not Enrolled in Medicare Practice Location: 921 14th Ave, Longview, WA 98632 Phone: 360-423-0203 Fax: 360-577-0269 | |
Danielle L Jenkins Thompson, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 921 14th Ave, Longview, WA 98632 Phone: 360-423-0203 | |
Marena Berishev, Counselor Medicare: Not Enrolled in Medicare Practice Location: 748 14th Ave, Longview, WA 98632 Phone: 360-200-5419 | |
Mrs. Michelle Chapman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 720 14th Ave, Longview, WA 98632 Phone: 360-423-0203 Fax: 360-577-0269 | |
Melissa Jarvis, Counselor Medicare: Medicare Enrolled Practice Location: 720 14th Ave, Longview, WA 98632 Phone: 360-423-0203 Fax: 360-577-0187 | |
Rachel A Gaines, SUDPT Counselor Medicare: Not Enrolled in Medicare Practice Location: 748 14th Ave, Longview, WA 98632 Phone: 360-200-5419 Fax: 360-200-6736 | |
Charlotte Anne Rosen, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1157 3rd Ave, Suite 100, Longview, WA 98632 Phone: 360-636-5653 |