Individual
BREANNA FERENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 DOVE ST STE 335, NEWPORT BEACH, CA 92660-1433
(949) 395-8246
Mailing address
1055 E COLORADO BLVD STE 560, PASADENA, CA 91106-2380
(818) 241-6780
(818) 241-6853
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
R1476260722
CA
101YM0800X
Mental Health Counselor
Primary
AMFT142665
CA
Other
Enumeration date
08/05/2019
Last updated
02/09/2024
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