Provider Demographics
NPI:1528204369
Name:BREEN, JANET M (LPC)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:M
Last Name:BREEN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1600 ALDERSGATE RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-6614
Mailing Address - Country:US
Mailing Address - Phone:501-661-0720
Mailing Address - Fax:501-687-0839
Practice Address - Street 1:1501 N UNIVERSITY AVE
Practice Address - Street 2:SUITE 680
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72207-5242
Practice Address - Country:US
Practice Address - Phone:501-978-5437
Practice Address - Fax:501-687-0839
Is Sole Proprietor?:No
Enumeration Date:2008-12-29
Last Update Date:2008-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP0806051101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional