Individual
BREANNA MOSKOVITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
655 CAMINO DE LOS MARES, SUITE 120, SAN CLEMENTE, CA 92673-2809
(949) 487-1015
Mailing address
848 AMIGOS WAY, H, NEWPORT BEACH, CA 92660-4570
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
51543
CA
Other
Enumeration date
03/12/2007
Last updated
04/23/2012
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