Individual
BRIANA NICOLE SOUTHERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16580 HARBOR BLVD STE O, FOUNTAIN VALLEY, CA 92708-1396
(714) 501-5578
Mailing address
16580 HARBOR BLVD STE O, FOUNTAIN VALLEY, CA 92708-1396
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
CA
Other
Enumeration date
06/19/2020
Last updated
06/14/2023
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