Individual
DALIT BRUCHSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED MFT
Contact information
Practice address
18542 VANDERLIP AVE STE B, SANTA ANA, CA 92705-8201
(714) 642-7057
Mailing address
2240 STANLEY AVE APT 12, SIGNAL HILL, CA 90755-3934
(714) 642-7057
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
MFC45793
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MFC45793
BBS LICENCE
CA
Enumeration date
08/26/2020
Last updated
08/26/2020
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