Individual
DR. BRIAN KUENNEMEIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
630 DRAKE AVE, SAUSALITO, CA 94965-1107
(415) 680-8256
Mailing address
630 DRAKE AVE, SAUSALITO, CA 94965-1107
(415) 680-8256
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY31793
CA
Other
Enumeration date
09/05/2012
Last updated
08/24/2021
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