Provider Demographics
NPI:1235713553
Name:CARLETON, BREEANN (LPC)
Entity Type:Individual
Prefix:
First Name:BREEANN
Middle Name:
Last Name:CARLETON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32496 US 281 NORTH SUITE B
Mailing Address - Street 2:
Mailing Address - City:BULVERDE
Mailing Address - State:TX
Mailing Address - Zip Code:78163
Mailing Address - Country:US
Mailing Address - Phone:830-438-3900
Mailing Address - Fax:
Practice Address - Street 1:32496 US HIGHWAY 281 N LOT B
Practice Address - Street 2:
Practice Address - City:BULVERDE
Practice Address - State:TX
Practice Address - Zip Code:78163-3233
Practice Address - Country:US
Practice Address - Phone:830-438-3900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-12
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX83030101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional