MEDICARE: BREANNA VANANTWERP MA

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1841177219
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BREANNA VANANTWERP MA

Provider Business Mailing Address
First Line	:	231 ARTHUR ST
Second Line	:
City	:	ZELIENOPLE
State	:	PA
Zip	:	16063-1004
Country	:	US
Telephone Number	:	412-477-8939
Fax Number	:

Provider Business Practice Location Address
First Line	:	20273 ROUTE 19
Second Line	:
City	:	CRANBERRY TOWNSHIP
State	:	PA
Zip	:	16066-6120
Country	:	US
Telephone Number	:	724-987-2993
Fax Number	:

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

Provider Enumeration Date	:	08/18/2025
Last Update Date	:	08/18/2025

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Directions to “ BREANNA VANANTWERP MA” Practice Location

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