Individual
THOMAS CARL BREITBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MFT
Contact information
Practice address
211 S PATERSON ST STE 370, MADISON, WI 53703-4501
(608) 535-1095
Mailing address
1442 CHANDLER ST APT 2, MADISON, WI 53711-2675
(262) 945-2904
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
WI
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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