Provider Demographics
NPI:1497180012
Name:BREESE, DEBORAH RENEE (CRC,LCASA)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:RENEE
Last Name:BREESE
Suffix:
Gender:F
Credentials:CRC,LCASA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 CRUTCHFIELD STREET
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27704
Mailing Address - Country:US
Mailing Address - Phone:919-560-7305
Mailing Address - Fax:919-797-1962
Practice Address - Street 1:309 CRUTCHFIELD STREET
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27704
Practice Address - Country:US
Practice Address - Phone:919-560-7305
Practice Address - Fax:919-797-1962
Is Sole Proprietor?:No
Enumeration Date:2013-09-13
Last Update Date:2013-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health