Individual
ANTINIKA BRASWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
995 GATEWAY CENTER WAY, SUITE 300, SAN DIEGO, CA 92102-4500
(619) 398-2156
Mailing address
6160 MISSION GORGE RD STE 108, SAN DIEGO, CA 92120-3425
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/29/2016
Last updated
10/01/2021
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