Individual provider · Type 1 NPI
Antinika Braswell
Mental Health Counselor · San Diego, CA
NPI number
1548620859
Active
Practice location
995 Gateway Center Way, Suite 300
San Diego, CA 92102-4500
Mailing address
6160 Mission Gorge Rd Ste 108
San Diego, CA 92120-3425
Other practice locations
- 6160 Mission Gorge Rd Ste 108, San Diego, CA 92120-3425 · (619) 481-5200
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 1548620859
Antinika Braswell's National Provider Identifier is 1548620859, issued on Feb 29, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Diego, CA. The record was last updated on Oct 1, 2021.