Individual
MS. KENLEY ANNE BRECKENRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
2081 COLLIER CORPORATE PKWY, SAINT CHARLES, MO 63303-6701
(636) 255-0002
Mailing address
2081 COLLIER CORPORATE PKWY, SAINT CHARLES, MO 63303-6701
(636) 255-0002
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2021032902
MO
101YP2500X
Professional Counselor
Primary
2021032902
MO
Other
Enumeration date
09/17/2021
Last updated
04/19/2022
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