Organization
BERNADETTE L. BRENNECKE, LCSW, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREG PETROPOULOS LMFT (OWNER/THERAPIST)
(909) 263-0934
Entity
Organization
Contact information
Practice address
4574 LIVE OAK CANYON ROAD, LA VERNE, CA 91750
(909) 263-0851
(626) 338-9022
Mailing address
640 S. SUNSET AVE, SUITE 102, WEST COVINA, CA 91790
(909) 263-0851
(626) 338-9022
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MFC 37681
CA
Other
Enumeration date
04/01/2010
Last updated
03/06/2024
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