DAVID LEE BREAULT

BAINBRIDGE, GA
NPI1093101982
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: GA  007527)
Enumeration Date2015-04-08
Last Update Date2015-04-08
Business Address
-- DAVID LEE BREAULT LPC
1005 S WASHINGTON ST
BAINBRIDGE, GA 39819-4465
Phone number: 229-248-2683
Mailing Address
-- DAVID LEE BREAULT LPC
1005 S WASHINGTON ST
BAINBRIDGE, GA 39819-4465
Phone number: 229-248-2683