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Breanna Bianca Fuller
Mental Health Counselor in South San Francisco, California
NPI 1013587468

Breanna Bianca Fuller is a Mental Health Counselor based in South San Francisco, CA and is specialized in Mental Health. Breanna Bianca Fuller practices in South San Francisco, CA. The NPI Number for Breanna Bianca Fuller is 1013587468 and holds a License No. (California).

The current practice location address for Breanna Bianca Fuller is 1486 Huntington Ave Ste 100, South San Francisco, CA and can be reached out via phone at 650-276-4101.

Location: 1486 Huntington Ave Ste 100, South San Francisco, CA, 94080-5971
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013587468
Provider Name
Breanna Bianca Fuller
Credential
Provider Entity Type
Individual
Gender
Female
Address
1486 Huntington Ave Ste 100, South San Francisco, CA, 94080-5971
Phone Number
650-276-4101
Fax Number
Provider Enumeration Date
06/29/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1486 Huntington Ave Ste 100
City
South San Francisco
State
California
Zip
94080-5971
Phone Number
650-276-4101
Fax Number
person
Provider Business Mailing Address Details
Address
1486 Huntington Ave Ste 100
City
South San Francisco
State
California
Zip
94080-5971
Phone Number
650-276-4101
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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