Individual
JEFFREY BRECKENRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
750 N FREEDOM BLVD, PROVO, UT 84601-1677
(476) 080-1373
(801) 373-0639
Mailing address
743 E 1060 S, SPRINGVILLE, UT 84663-2867
(801) 472-1082
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8911450
ID
Other
Enumeration date
06/11/2020
Last updated
03/20/2026
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