Shawn Breeden, HS-BCP, MA
Individual provider Active NPI Pastoral Counselor · San Tan Valley, AZ
NPI 1871027250 · NPPES record last updated Apr 12, 2017
Key facts
- NPI
- 1871027250
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pastoral Counselor 101YP1600X
- Practice address
- 4196 E Whitehall Dr
San Tan Valley, AZ 85140-7647 - Phone
- (435) 899-0751
- NPI assigned
- Apr 12, 2017
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | Yes |
Addresses
Primary practice location
4196 E Whitehall Dr
San Tan Valley, AZ 85140-7647
Mailing address
4196 E Whitehall Dr
San Tan Valley, AZ 85140-7647
Phone (435) 899-0751
Other providers in San Tan Valley, AZ
- Brian Boring
- Steven Boschetto
- Bradley L Newswander, DPM,PLC
- Karen Sue Bradley
- Suzanne Brahnshaw
- Brooke Brennan
- Keyla Machell Briese
- Bright Bites Therapy PLLC
- Brighter Days Alliance LLC
- Debra I Bro
All providers in San Tan Valley, AZ · Pastoral Counselor in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 12, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.