Cordova, Breanna Alyssa

Cordova, Breanna Alyssa is an sole proprietor health care provider with primary practice located at 13305 S Ridgeland Ave Unit C , Palos Heights IL 60463-1814. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Cordova, Breanna Alyssa can be contacted via phone (708) 907-5149.

Contact Information

Primary practice address
13305 S Ridgeland Ave Unit C Palos Heights IL 60463-1814
Phone: (708) 907-5149
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1184306474
LBN Legal business name Cordova, Breanna Alyssa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 4th, 2023
Last updated Mar 7th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers