Individual
REBECCA RAE BREITRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
12630 W NORTH AVE BLDG E, BROOKFIELD, WI 53005-4626
(262) 785-1008
(262) 646-6284
Mailing address
6640 N 110TH ST, MILWAUKEE, WI 53224-5038
(414) 628-6016
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2393
WI
101YP2500X
Professional Counselor
Primary
6889
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477069458
—
WI
Enumeration date
12/28/2017
Last updated
11/11/2021
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