Brian John Donovan MFT

NPI 1073795092 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1073795092
Gender Male
Enumeration Date 11/30/2007
Last Updated 04/23/2010
Entity Type Individual
Active Over 9 years ago
Practice Location
791 N PEPPER AVE
COLTON CA, 92324-1800, US
Phone (909) 824-0480
Fax
Business Location
791 N PEPPER AVE
COLTON CA, 92324-1800, US
Phone (909) 824-0480
Fax
Toxanomy
Taxonomy Code 106H00000X
License State California
License Number 48326
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According to our database, Brian John Donovan MFT NPI is 1073795092, taxonomy code is 106H00000X and license number is 48326, license state is located at California. Brian John Donovan MFT physically located at 791 N Pepper Ave, Colton CA, 92324-1800. NPI Number Brian John Donovan MFT has the Individual type.

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1073795092 NPI number is provided on an as is basis without warranty of any kind. 1073795092 is maintained by the National Plan & Provider Enumeration System. The contents of Brian John Donovan MFT are for informational purposes only.