Individual
DARLICIA TIFFANY BRUNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 ESTUDILLO AVE, SAN LEANDRO, CA 94577-4999
(510) 924-0548
Mailing address
400 ESTUDILLO AVE, SAN LEANDRO, CA 94577-4999
(510) 924-0548
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
AMFT146417
CA
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
12/23/2021
Last updated
07/06/2025
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