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NPI Code Detail

MEDICARE: ANDREW J BRELAND MS, MPAS, LPC, PA-C

MEDICARE:   ANDREW J BRELAND  MS, MPAS, LPC, PA-C
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
1101YA0400XAddiction (Substance Use Disorder) Counselor13744TX
2101YP2500XProfessional Counselor2281MS
3101YP2500XProfessional Counselor75012TX
4363AS0400XSurgical Physician AssistantPA19080TX
5363AM0700XMedical Physician AssistantPA19080TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013436062
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW J BRELAND MS, MPAS, LPC, PA-C
Provider Business Mailing Address
First Line : 333 N TEXAS AVE STE 2200
Second Line :
City : WEBSTER
State : TX
Zip : 77598-4964
Country : US
Telephone Number : 832-404-2601
Fax Number :
Provider Business Practice Location Address
First Line : 333 N TEXAS AVE STE 2200
Second Line :
City : WEBSTER
State : TX
Zip : 77598-4964
Country : US
Telephone Number : 832-404-2601
Fax Number : 832-404-2601
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2017
Last Update Date : 04/30/2025

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Directions to “ ANDREW J BRELAND MS, MPAS, LPC, PA-C” Practice Location

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