Individual
ELIZABETH RACHEL BRECKENRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 PARKMOOR AVE STE 115, SAN JOSE, CA 95126-3797
(408) 971-9822
Mailing address
1668 FAIRLAWN AVE, SAN JOSE, CA 95125-4930
(408) 483-7684
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/16/2017
Last updated
05/16/2017
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