Individual
BREANNA REGENAE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1921 15TH ST, SAN PABLO, CA 94806-3430
(510) 200-1687
Mailing address
1921 15TH ST, SAN PABLO, CA 94806-3430
(510) 200-1687
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/24/2025
Last updated
09/24/2025
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