Individual
MS. BRANDI WILLOUGHBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2275 S MAIN ST STE 201, CORONA, CA 92882-5303
(951) 279-1333
Mailing address
27075 BACK BAY DR, MENIFEE, CA 92585-3319
(951) 285-6689
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/11/2013
Last updated
04/11/2013
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