Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shannon Breckenridge

Individual provider Professional Counselor · NPI 1548669500

Shannon Breckenridge is a Professional Counselor in Modesto, California. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014

Practice location Address checks out

1800 Tully Rd # STUA-2
Modesto, CA 95350-2946
Phone: (209) 622-1420
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 68828 (CA)

Record details

NPI number1548669500
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 15, 2014
Last updated in NPPESAugust 15, 2014

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