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Ms. Madeline Breckinridge, LCSW
Mental Health Counselor in New York, New York
NPI 1790219566

Madeline Breckinridge is a Mental Health Counselor based in New York, NY and is specialized in Mental Health. Madeline Breckinridge practices in New York, NY and has the professional credentials of LCSW. The NPI Number for Madeline Breckinridge is 1790219566 and holds a License No. PR017656 (New York).

The current practice location address for Madeline Breckinridge is 360 W 55Th St Apt 1T, New York, NY and can be reached out via phone at 917-957-5277.

Location: 360 W 55Th St Apt 1T, New York, NY, 10019-5126
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Provider Profile Details
NPI Number
1790219566
Provider Name
Madeline Breckinridge
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
360 W 55Th St Apt 1T, New York, NY, 10019-5126
Phone Number
917-957-5277
Fax Number
Provider Enumeration Date
04/18/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PR017656 01 NY NEW YORK STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
360 W 55Th St Apt 1T
City
State
Zip
10019-5126
Phone Number
917-957-5277
Fax Number
person
Provider Business Mailing Address Details
Address
360 W 55Th St Apt 1T
City
State
Zip
10019-5126
Phone Number
917-957-5277
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
PR017656 (New York)
Definition
Definition to come...
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