MS. Carrie Dali Breault, MS

NPI #1205123924 in Lehigh Acres, Florida

Provider Information

NPI Number: 1205123924
Entity Type: Individual
Name: MS. Carrie Dali Breault, MS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: MS
Enumeration Date: Jul 1, 2011
Last Updated: Jul 8, 2013

Practice Location

Address: 2917 13TH ST W
Address 2: APT/SUITE
City: Lehigh Acres
State: Florida
ZIP Code: 33971-5403
Phone: (239) 851-9625

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary
Counselor - Mental Health — Mental Health	101YM0800X

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MR. Justin Lee Blackwell, CAP, ICADC, CAC-AD	Counselor - Addiction (Substance Use Disorder)	Lehigh Acres	AI Deep Dive
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Organizations

Provider Name	Specialty	City
Hippodrome State Theatre	Counselor - Addiction (Substance Use Disorder)	Gainesville	AI Deep Dive

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