Andrew Jay Breault, LMSW

NPI #1780221119 in Fairfield, Maine

Provider Information

NPI Number: 1780221119
Entity Type: Individual
Name: Andrew Jay Breault, LMSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: LMSW
Enumeration Date: Dec 4, 2019
Last Updated: Dec 4, 2019

Practice Location

Address: 121 MAIN ST
City: Fairfield
State: Maine
ZIP Code: 04937-1528
Phone: (207) 453-4500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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