Healthcare Provider Details

I. General information

NPI: 1225914286
Provider Name (Legal Business Name): BRETT CHRISTINE PIERACCI
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2025
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10505 W CLEARWATER AVE
KENNEWICK WA
99336-8613
US

IV. Provider business mailing address

10505 W CLEARWATER AVE
KENNEWICK WA
99336-8613
US

V. Phone/Fax

Practice location:
  • Phone: 509-378-5553
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: