Individual
BREANNA CHAMPAGNE-WAHLBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27225 CAMP PLENTY RD STE 7, CANYON CNTRY, CA 91351-2654
(818) 927-1284
Mailing address
39959 GOLFERS DR, PALMDALE, CA 93551-2920
(661) 305-6109
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APCC16229
CA
Other
Enumeration date
08/29/2024
Last updated
08/29/2024
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