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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. IAN THOMSON BRECKENRIDGE, LPC

Active Sole Proprietor

MR. IAN THOMSON BRECKENRIDGE, LPC is a Mental Health Counselor healthcare provider located in WENTZVILLE, Missouri. NPI 1811614803 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · WENTZVILLE, MO

Registration Details

NPI Number
1811614803
Provider Type
Individual
Gender
Male
NPI Issued
Oct 20, 2022 (3.7947107129067 yrs)
Last Updated
Oct 20, 2022
License
2017044140 (MO)
Sole Proprietor
Yes

Practice Information

Address
1642 WOODS MILL DR
WENTZVILLE, MO, 633852629
Browse MO providers · Browse ZIP 63385
Phone
3144425320
Primary Specialty
Mental Health Counselor
101YM0800X

Other Mental Health Counselor Providers in WENTZVILLE, MO

Name Credential NPI
MRS. TIFFANY ANNETTE MOORE MA 1366456048
PAMELA ELAINE CRISMON LPC 1003359027
BETSY LIPPINCOTT 1659814549
DEBBIE HOLDERLE LPC 1215470869
REBECCA LYNN COULSON LPC 1992229520
ANDRE RICHARDSON PLPC 1770097651
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.