MEDICARE: BARBARA J BRECHEEN M.ED

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP1600X	Pastoral Counselor	LH00005271	WA
2	101YP1600X	Pastoral Counselor	LH00005271

General Provider Information

NPI Number	:	1528033123
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARBARA J BRECHEEN M.ED

Provider Business Mailing Address
First Line	:	6922 MILL CT SE
Second Line	:
City	:	OLYMPIA
State	:	WA
Zip	:	98503-3026
Country	:	US
Telephone Number	:	360-491-8815
Fax Number	:

Provider Business Practice Location Address
First Line	:	6922 MILL CT SE
Second Line	:
City	:	OLYMPIA
State	:	WA
Zip	:	98503-3026
Country	:	US
Telephone Number	:	360-491-8815
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/17/2006
Last Update Date	:	07/08/2007

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