Individual
FRED DAVID BRECKENRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1503 SANTA ROSA RD RM 105, RICHMOND, VA 23229-5105
(804) 673-0100
Mailing address
11500 STILLBROOK RD, NORTH CHESTERFIELD, VA 23236-2408
(901) 833-8797
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701015490
VA
Other
Enumeration date
12/05/2025
Last updated
12/05/2025
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