Individual
BRANDIE MOULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6160 MISSION GORGE RD, SUITE 200, SAN DIEGO, CA 92120-3410
(619) 241-6171
Mailing address
6160 MISSION GORGE RD, SUITE 200, SAN DIEGO, CA 92120-3410
(619) 241-6171
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/22/2009
Last updated
12/22/2009
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