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NPI Code Detail

MEDICARE: BRIANNA PAULINE MEACHAM LMFT

MEDICARE:   BRIANNA PAULINE MEACHAM  LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist51088CA

General Provider Information

NPI Number : 1891959383
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIANNA PAULINE MEACHAM LMFT
Provider Business Mailing Address
First Line : 7205 CORNELL AVE
Second Line :
City : LA MESA
State : CA
Zip : 91942-8703
Country : US
Telephone Number : 858-381-0980
Fax Number : 619-719-5524
Provider Business Practice Location Address
First Line : 2535 KETTNER BLVD STE 2B1
Second Line :
City : SAN DIEGO
State : CA
Zip : 92101-1253
Country : US
Telephone Number : 858-381-0980
Fax Number : 619-719-5524
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2008
Last Update Date : 04/30/2026

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Directions to “ BRIANNA PAULINE MEACHAM LMFT” Practice Location

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