Individual
BREANNE NICOLE SUGUITAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18302 IRVINE BLVD, TUSTIN, CA 92780-3435
(714) 957-1004
Mailing address
PO BOX 386, LA VERNE, CA 91750-0386
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/07/2013
Last updated
08/07/2013
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