Provider Demographics
NPI:1578861068
Name:BREESE, EMILY SEKLER (CDP)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:SEKLER
Last Name:BREESE
Suffix:
Gender:F
Credentials:CDP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 VIRGINIA ST
Mailing Address - Street 2:STE. 210
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101-1439
Mailing Address - Country:US
Mailing Address - Phone:206-470-3856
Mailing Address - Fax:206-470-3857
Practice Address - Street 1:1100 VIRGINIA ST
Practice Address - Street 2:STE. 210
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101-1439
Practice Address - Country:US
Practice Address - Phone:206-470-3856
Practice Address - Fax:206-470-3857
Is Sole Proprietor?:No
Enumeration Date:2011-03-07
Last Update Date:2011-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACP 60001713101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)