Search › Missouri › 171100000X
Traci Bredenkamp, LAC
NPI 1174085229 · on the registry since 2019 · sole proprietor
Practice
- Address
- 201 N Main St Ste 210
Saint Charles, MO 63301 - Phone
- (618) 207-8869
- Clinicians at this address
- 2
Additional practice sites
- 1507 Hunters Meadow Dr, O Fallon, MO
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Also registered as
- 405300000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-07-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri