Individual provider · Type 1 NPI
Inanna Phoenixx Dawn
Mental Health Counselor · Richmond, CA
NPI number
1487967683
Active
Practice location
4175 Lakeside Dr
Richmond, CA 94806-5774
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1487967683
Inanna Phoenixx Dawn's National Provider Identifier is 1487967683, issued on Jul 16, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Richmond, CA. The record was last updated on Jul 16, 2010.