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Individual

MR. ROBERT C. BRECKENRIDGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.ED.

Contact information

Practice address
17 93RD ST, KEENE, NH 03431-3748
(603) 357-4400
Mailing address
17 93RD ST, KEENE, NH 03431-3748
(603) 283-1515

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
101Y00000X
COUNSELOR (UNLIC)
NH
05
81263595
NH
Enumeration date
04/17/2007
Last updated
11/20/2007
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