Charles, Breanna J

Charles, Breanna J is an sole proprietor health care provider with primary practice located at 1366 W 7Th St Ste 4B , San Pedro CA 90732-3500. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Charles, Breanna J can be contacted via phone (310) 547-2197.

Contact Information

Primary practice address
1366 W 7Th St Ste 4B San Pedro CA 90732-3500
Phone: (310) 547-2197
Fax: (310) 547-9532
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LMFT86500 California

Profile Details

NPI number 1265883680
LBN Legal business name Charles, Breanna J
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2016
Last updated Oct 3rd, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1265883680 NPPES
California Other LMFT86500 LMFT

Popular Providers