Provider Demographics
NPI:1013792373
Name:KIRSCHNER, BREANA (AMFT)
Entity Type:Individual
Prefix:MRS
First Name:BREANA
Middle Name:
Last Name:KIRSCHNER
Suffix:
Gender:F
Credentials:AMFT
Other - Prefix:MS
Other - First Name:BREANA
Other - Middle Name:
Other - Last Name:TYE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:55 GLENDALE DR # B
Mailing Address - Street 2:
Mailing Address - City:MCKINLEYVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95519-8100
Mailing Address - Country:US
Mailing Address - Phone:714-313-6512
Mailing Address - Fax:
Practice Address - Street 1:123 F ST STE F
Practice Address - Street 2:
Practice Address - City:EUREKA
Practice Address - State:CA
Practice Address - Zip Code:95501-1048
Practice Address - Country:US
Practice Address - Phone:707-390-0393
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-25
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health