Individual
BRANDI LONJE DESHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10220 FOOTHILL BLVD, #5102, RANCHO CUCAMONGA, CA 91730-0343
(909) 329-6602
Mailing address
10220 FOOTHILL BLVD, #5102, RANCHO CUCAMONGA, CA 91730-0343
(909) 329-6602
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
CA
Other
Enumeration date
08/16/2012
Last updated
08/16/2012
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