Individual
MISS BREANNA NICOLE DONALDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1108 BISSELL AVE, RICHMOND, CA 94801-3135
(510) 307-4589
Mailing address
1108 BISSELL AVE, RICHMOND, CA 94801-3135
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
129708
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/16/2019
Last updated
03/03/2026
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