Individual
ASHLEY BRIANNE MCKINNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
45 CAMINO ALTO STE 208, MILL VALLEY, CA 94941-2935
(415) 528-2525
Mailing address
461 GIOTTO, IRVINE, CA 92614-8577
(916) 770-7550
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
146864
CA
101YM0800X
Mental Health Counselor
16602
CA
Other
Enumeration date
06/17/2024
Last updated
08/29/2024
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