Provider Demographics
NPI:1417532813
Name:BREHL, MARY (PRE-LICENCED MFT)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:
Last Name:BREHL
Suffix:
Gender:F
Credentials:PRE-LICENCED MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6857 ALVERNO CT
Mailing Address - Street 2:
Mailing Address - City:INVER GROVE HEIGHTS
Mailing Address - State:MN
Mailing Address - Zip Code:55077-0101
Mailing Address - Country:US
Mailing Address - Phone:612-219-4953
Mailing Address - Fax:
Practice Address - Street 1:6857 ALVERNO CT
Practice Address - Street 2:
Practice Address - City:INVER GROVE HEIGHTS
Practice Address - State:MN
Practice Address - Zip Code:55077-0101
Practice Address - Country:US
Practice Address - Phone:612-219-4953
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-17
Last Update Date:2021-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health