Provider Demographics
NPI:1699119834
Name:BREAUX-FUJITA, SOHEI (LMFT)
Entity type:Individual
Prefix:DR
First Name:SOHEI
Middle Name:
Last Name:BREAUX-FUJITA
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:SOHEI
Other - Middle Name:
Other - Last Name:FUJITA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:715A DIVISION ST
Mailing Address - Street 2:
Mailing Address - City:BILOXI
Mailing Address - State:MS
Mailing Address - Zip Code:39530-2209
Mailing Address - Country:US
Mailing Address - Phone:228-374-4991
Mailing Address - Fax:228-436-3720
Practice Address - Street 1:580 W 5TH ST
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89503-4407
Practice Address - Country:US
Practice Address - Phone:775-786-4673
Practice Address - Fax:775-348-2889
Is Sole Proprietor?:No
Enumeration Date:2013-04-18
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX204297106H00000X
CALMFT130462106H00000X
MST0552106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist