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General NPI Number Information
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NPI Number | 1013436062
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Entity Type | Individual
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Provider Name | ANDREW J BRELAND MS, MPAS, LPC, PA-C
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Gender | Male
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Dates
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Enumeration Date | 09/11/2017
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 333 N TEXAS AVE STE 2200
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City | WEBSTER
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State | TX
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Zip | 77598-4964
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Country | US
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Telephone | 832-404-2601
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Fax | 832-404-2601
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Provider Business Mailing Address
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Address Line | 333 N TEXAS AVE STE 2200
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City | WEBSTER
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State | TX
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Zip | 77598-4964
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Country | US
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Telephone | 832-404-2601
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 13744
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2281
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License Number State | MS
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 75012
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA19080
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA19080
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License Number State | TX
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