Individual
BRENDA SERVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3540 HOWARD WAY, SUITE 150, COSTA MESA, CA 92626-1417
(949) 646-9227
Mailing address
2202 S GREENVILLE ST, SANTA ANA, CA 92704-4912
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/20/2016
Last updated
09/20/2016
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