Provider Demographics
NPI:1255576633
Name:BREEN, PATTI LYNN (CADC)
Entity type:Individual
Prefix:MRS
First Name:PATTI
Middle Name:LYNN
Last Name:BREEN
Suffix:
Gender:F
Credentials:CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:778 BOWLES ST
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95815-2202
Mailing Address - Country:US
Mailing Address - Phone:916-641-1726
Mailing Address - Fax:
Practice Address - Street 1:1828 TRIBUTE RD STE H
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95815-4310
Practice Address - Country:US
Practice Address - Phone:916-564-4400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-12
Last Update Date:2008-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)