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NPI Code Detail

MEDICARE: MS. ADRIAN DEANE BRANNEN-JURGENSON

MEDICARE:  MS. ADRIAN DEANE BRANNEN-JURGENSON
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
1101YM0800XMental Health Counselor
2101200000XDrama Therapist
3102L00000XPsychoanalyst

General Provider Information

NPI Number : 1346103355
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ADRIAN DEANE BRANNEN-JURGENSON
Provider Business Mailing Address
First Line : 2448 CEDAR ST
Second Line :
City : BERKELEY
State : CA
Zip : 94708-1823
Country : US
Telephone Number : 402-947-0813
Fax Number :
Provider Business Practice Location Address
First Line : 2448 CEDAR ST
Second Line :
City : BERKELEY
State : CA
Zip : 94708-1823
Country : US
Telephone Number : 402-947-0813
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2025
Last Update Date : 12/05/2025

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Directions to “ MS. ADRIAN DEANE BRANNEN-JURGENSON ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.