Individual
BRIANNE BERGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1045 9TH AVE, SAN DIEGO, CA 92101-5504
(619) 235-2600
Mailing address
1045 9TH AVE, SAN DIEGO, CA 92101-5504
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
CA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/11/2019
Last updated
09/18/2019
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