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Inanna Phoenixx Dawn
Mental Health Counselor in Richmond, California
NPI 1487967683

Inanna Phoenixx Dawn is a Mental Health Counselor based in Richmond, CA and is specialized in Mental Health. Inanna Phoenixx Dawn practices in Richmond, CA. The NPI Number for Inanna Phoenixx Dawn is 1487967683 and holds a License No. (California).

The current practice location address for Inanna Phoenixx Dawn is 4175 Lakeside Dr, Richmond, CA and can be reached out via phone at 510-262-6551.

Location: 4175 Lakeside Dr, Richmond, CA, 94806-5774
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487967683
Provider Name
Inanna Phoenixx Dawn
Credential
Provider Entity Type
Individual
Gender
Female
Address
4175 Lakeside Dr, Richmond, CA, 94806-5774
Phone Number
510-262-6551
Fax Number
Provider Enumeration Date
07/16/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4175 Lakeside Dr
City
Richmond
State
California
Zip
94806-5774
Phone Number
510-262-6551
Fax Number
person
Provider Business Mailing Address Details
Address
4175 Lakeside Dr
City
Richmond
State
California
Zip
94806-5774
Phone Number
510-262-6551
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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