Individual
BREANNA L HORSFALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RADT
Contact information
Practice address
145 BOST AVE, NEVADA CITY, CA 95959-3249
(530) 273-9541
Mailing address
180 SIERRA COLLEGE DR, GRASS VALLEY, CA 95945-5768
(530) 273-9541
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1414251220
CA
Other
Enumeration date
05/13/2021
Last updated
05/13/2021
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