Organization
BRUECKNER COUNSELING
Active
Organization
BRUECKNER COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON BRUECKNER MFT (OWNER)
(415) 710-9495
Entity
Organization
Contact information
Practice address
2930 CAMINO DIABLO, SUITE 310, WALNUT CREEK, CA 94597-3986
(415) 710-9495
Mailing address
PO BOX 20554, OAKLAND, CA 94620-0554
(415) 710-9495
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MFC43161
CA
Other
Enumeration date
06/01/2016
Last updated
06/01/2016
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