Individual
DARLA K BRECKENRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
2261 LAKE SHORE ROAD, ESSEX, NY 12936
(518) 963-7453
Mailing address
PO BOX 273, 2261 LAKE SHORE RD, ESSEX, NY 12936-0273
(518) 963-7453
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
000751
NY
103T00000X
Psychologist
Primary
—
VT
Other
Enumeration date
08/08/2007
Last updated
08/08/2007
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