Individual
KELLY BREANNE WAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PPS
Contact information
Practice address
33122 VALLE RD, SAN JUAN CAPISTRANO, CA 92675-4859
(949) 234-9200
Mailing address
37 PEARL, LAGUNA NIGUEL, CA 92677-4810
(714) 366-8434
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
230232760
CA
Other
Enumeration date
04/29/2026
Last updated
04/29/2026
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