Provider Demographics
NPI:1710850862
Name:BREKKA, CHRISTOPHER J (CEAP)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:J
Last Name:BREKKA
Suffix:
Gender:M
Credentials:CEAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4271 SUNRISE FLATS ST
Mailing Address - Street 2:4271 SUNRISE FLATS ST
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89135-2977
Mailing Address - Country:US
Mailing Address - Phone:702-457-9980
Mailing Address - Fax:866-755-9980
Practice Address - Street 1:4271 SUNRISE FLATS ST
Practice Address - Street 2:4271 SUNRISE FLATS ST
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89135-2977
Practice Address - Country:US
Practice Address - Phone:702-457-9980
Practice Address - Fax:866-755-9980
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-25
Last Update Date:2025-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVNV20031537729101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty