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Breana Marie Luke
Mental Health Counselor in Vista, California
NPI 1427680032

Breana Marie Luke is a Mental Health Counselor based in Vista, CA and is specialized in Mental Health. Breana Marie Luke practices in Vista, CA. The NPI Number for Breana Marie Luke is 1427680032 and holds a License No. (California).

The current practice location address for Breana Marie Luke is 216 W Los Angeles Dr, Vista, CA and can be reached out via phone at 760-630-4035.

Location: 216 W Los Angeles Dr, Vista, CA, 92083-3101
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427680032
Provider Name
Breana Marie Luke
Credential
Provider Entity Type
Individual
Gender
Female
Address
216 W Los Angeles Dr, Vista, CA, 92083-3101
Phone Number
760-630-4035
Fax Number
Provider Enumeration Date
02/11/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1336201490 05 CA
institution
Provider Business Practice Location Address Details
Address
216 W Los Angeles Dr
City
Vista
State
California
Zip
92083-3101
Phone Number
760-630-4035
Fax Number
person
Provider Business Mailing Address Details
Address
216 W Los Angeles Dr
City
Vista
State
California
Zip
92083-3101
Phone Number
760-630-4035
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...
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