Provider Demographics
NPI:1629633342
Name:MCFARLAND, BREONNA NICOLE (MS, LMFT, LPCC)
Entity Type:Individual
Prefix:MRS
First Name:BREONNA
Middle Name:NICOLE
Last Name:MCFARLAND
Suffix:
Gender:F
Credentials:MS, LMFT, LPCC
Other - Prefix:MISS
Other - First Name:BREONNA
Other - Middle Name:NICOLE
Other - Last Name:SANDERS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MAIDEN NAME
Mailing Address - Street 1:16940 HIGHWAY 14 STE C-J
Mailing Address - Street 2:
Mailing Address - City:MOJAVE
Mailing Address - State:CA
Mailing Address - Zip Code:93501-1238
Mailing Address - Country:US
Mailing Address - Phone:661-824-5020
Mailing Address - Fax:
Practice Address - Street 1:16940 HIGHWAY 14 STE C-J
Practice Address - Street 2:
Practice Address - City:MOJAVE
Practice Address - State:CA
Practice Address - Zip Code:93501-1238
Practice Address - Country:US
Practice Address - Phone:661-824-5020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-08
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAPCC6303101YP2500X
CA133102106H00000X
CALPCC13776101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist