Provider Demographics
NPI:1376348482
Name:BRETON, ANDREW RAYMOND (LMHC)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:RAYMOND
Last Name:BRETON
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:435 WALINA ST APT 804
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96815-5032
Mailing Address - Country:US
Mailing Address - Phone:808-949-2484
Mailing Address - Fax:
Practice Address - Street 1:435 WALINA ST APT 804
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96815-5032
Practice Address - Country:US
Practice Address - Phone:808-949-2484
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-14
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health