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Individual

BREEANNA MARIE LONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
11731 TELEGRAPH RD STE G, SANTA FE SPRINGS, CA 90670-6819
(626) 464-8029
Mailing address
11731 TELEGRAPH RD STE G, SANTA FE SPRINGS, CA 90670-6819

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
CA
103T00000X
Psychologist
Primary
390200000X
Student in an Organized Health Care Education/Training Program
CA

Other

Enumeration date
07/31/2025
Last updated
02/12/2026
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