| Andrea Breiner, MA, LPC, NCC, LAC | |
|
103 W Tomichi Ave Ste 201-c, Gunnison, CO 81230-2323 | |
| (970) 784-6460 | |
| Not Available |
| Full Name | Andrea Breiner |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 103 W Tomichi Ave Ste 201-c, Gunnison, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851818272 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LPC.0018859 (Colorado) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Entity Name | Willow Bay Counseling, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285330936 PECOS PAC ID: 0749715498 Enrollment ID: O20241119001294 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea Breiner, MA, LPC, NCC, LAC 103 W Tomichi Ave Ste 201-c, Gunnison, CO 81230-2323 Ph: (970) 784-6460 | Andrea Breiner, MA, LPC, NCC, LAC 103 W Tomichi Ave Ste 201-c, Gunnison, CO 81230-2323 Ph: (970) 784-6460 |
Jessica Lauren Vogan, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 710 N Taylor St, Gunnison, CO 81230 Phone: 970-641-0229 Fax: 970-641-2949 | |
Jessica Ruth Moreland, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 710 N Taylor St, Gunnison, CO 81230 Phone: 970-641-0229 Fax: 970-641-2949 | |
Heather Chris Peterson, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 710 N Taylor St, Gunnison, CO 81230 Phone: 970-641-0229 Fax: 970-641-2949 | |
Darin Dorsett, Counselor Medicare: Medicare Enrolled Practice Location: 300 E Denver Ave, Gunnison, CO 81230 Phone: 970-648-7128 | |
Adriana Caputo, LPC Counselor Medicare: Medicare Enrolled Practice Location: 710 N Taylor St, Gunnison, CO 81230 Phone: 970-641-0229 Fax: 970-641-2949 | |
Mr. Bryan Dillon, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 300 E Denver Ave, Gunnison, CO 81230 Phone: 970-641-1456 | |
Louise M Perry, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 710 N Taylor St, Gunnison, CO 81230 Phone: 970-641-0229 Fax: 970-241-2949 |