Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANDREW JAY BREAULT, LMSW
ActiveANDREW JAY BREAULT, LMSW is a Counselor healthcare provider located in FAIRFIELD, Maine. NPI 1780221119 is currently active in the NPPES registry. Verify at CMS.
Counselor · FAIRFIELD, ME
Registration Details
- NPI Number
- 1780221119
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 4, 2019 (6.655694561073 yrs)
- Last Updated
- Dec 4, 2019
- License
-
MC18240 (ME)
Practice Information
- Address
-
121 MAIN STFAIRFIELD, ME, 049371528Browse ME providers · Browse ZIP 04937
- Phone
- 2074534500
- Fax
- 2074534502
- Primary Specialty
-
Counselor
101Y00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.