Healthcare Provider Details

I. General information

NPI: 1689442642
Provider Name (Legal Business Name): KARA JEAN BREI MC, NCC, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KJB BREI MC, NCC, LPC

II. Dates (important events)

Enumeration Date: 12/19/2023
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

917 E GRANADA RD APT 3
PHOENIX AZ
85006-2198
US

IV. Provider business mailing address

917 E GRANADA RD APT 3
PHOENIX AZ
85006-2198
US

V. Phone/Fax

Practice location:
  • Phone: 602-688-9148
  • Fax:
Mailing address:
  • Phone: 602-688-9148
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC-LA-1018
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC-OH-1020
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC-MN-1019
License Number StateMN
# 4
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC24695
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: