Individual
BRIANA HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3707 SUNSET LN, ANTIOCH, CA 94509-6101
(925) 522-0124
Mailing address
3707 SUNSET LN, ANTIOCH, CA 94509-6101
(925) 522-0124
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0000000
CA
Other
Enumeration date
08/26/2009
Last updated
08/26/2009
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