Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | CP 60597965 | WA |
Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) |
NPI | 1003355355 |
---|---|
Provider Name | Mrs. Anna Bresette |
First Address | Bremerton, WA 98311-8330 |
Second Address | Bremerton, WA 98311-8330 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/02/2017 |
Last Update Date | 23/09/2021 |