Individual
DR. TABITHA LOUISE BRECKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., CRC
Contact information
Practice address
915 N GRAND BLVD RM A103, SAINT LOUIS, MO 63106-1621
(314) 289-6588
Mailing address
915 N GRAND BLVD RM A103, SAINT LOUIS, MO 63106-1621
(314) 289-6588
Taxonomy
Speciality
Code
Description
License number
State
2255R0406X
Blind Rehabilitation Specialist/Technologist
—
—
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
10/11/2023
Last updated
10/11/2023
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