Individual
MELISSA R BROWNBACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPCC
Contact information
Practice address
1625 WHITE OAK ST, COSTA MESA, CA 92626-3724
(847) 461-3406
Mailing address
1625 WHITE OAK ST, COSTA MESA, CA 92626-3724
(847) 461-3406
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
178.007010
IL
101YP2500X
Professional Counselor
Primary
4726
CA
Other
Enumeration date
07/26/2011
Last updated
03/17/2018
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