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Brianne Dewitt Goudelock

Counselor, Mental Health in Northridge, CA. Individual provider (NPI-1).

NPI number1760675904
StatusActive
Last updated in NPPESAug 21, 2007

Details

NPI
1760675904
Entity type
Individual (NPI-1)
Name
Brianne Dewitt Goudelock
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 21, 2007
Last updated
Aug 21, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Practice location

9650 Zelzah Ave
Northridge, CA 91325-2003

Phone 818-993-9311

Mailing address

9650 Zelzah Ave
Northridge, CA 91325-2003

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