Individual
BRANDON BERGLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
27349 JEFFERSON AVE STE 111, TEMECULA, CA 92590-5610
(949) 201-8260
Mailing address
29595 PUJOL ST APT 12214, TEMECULA, CA 92590-6775
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
133319
CA
Other
Enumeration date
01/02/2024
Last updated
01/02/2024
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