person
Shannon Breckenridge
Professional Counselor in Modesto, California
NPI 1548669500

Shannon Breckenridge is a Professional Counselor based in Modesto, CA and is specialized in Professional. Shannon Breckenridge practices in Modesto, CA. The NPI Number for Shannon Breckenridge is 1548669500 and holds a License No. 68828 (California).

The current practice location address for Shannon Breckenridge is 1800 Tully Rd # Stua-2, Modesto, CA and can be reached out via phone at 209-622-1420.

Location: 1800 Tully Rd # Stua-2, Modesto, CA, 95351
person
Provider Profile Details
NPI Number
1548669500
Provider Name
Shannon Breckenridge
Credential
Provider Entity Type
Individual
Gender
Female
Address
1800 Tully Rd # Stua-2, Modesto, CA, 95351
Phone Number
209-622-1420
Fax Number
Provider Enumeration Date
08/15/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1800 Tully Rd # Stua-2
City
State
Zip
95350-2946
Phone Number
209-622-1420
Fax Number
person
Provider Business Mailing Address Details
Address
1800 Tully Rd # Stua-2
City
State
Zip
95350-2946
Phone Number
209-622-1420
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
68828 (California)
Definition
Definition to come...
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