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Search › Georgia › 101YM0800X

David Breault, LPC

NPI 1093101982 · on the registry since 2015 · sole proprietor

Practice

Address
1005 S Washington St
Bainbridge, GA 39819
Phone
(229) 248-2683
Organisation at this address
Georgia Pines Community Service Board
Georgia Pines Community Service Board
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-04-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia