Individual
BRENDA LEYVA DIMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2853 GROOM DR, RICHMOND, CA 94806-2664
(510) 222-3946
Mailing address
1335 FASCINATION CIR, EL SOBRANTE, CA 94803
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/04/2013
Last updated
06/06/2017
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