Killian Drake Bridges
Killian Drake Bridges is a Mental Health Counselor in Stockton, California. Practices as a sole proprietor. Registered with an NPI since 2019.
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
1212 N California StStockton, CA 95202-1552
Phone: (209) 468-0102
Fax: (209) 468-2380
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Specialties & licences
| Community Health Worker (primary) | Taxonomy 172V00000X |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X |
Record details
| NPI number | 1922563956 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 4, 2019 |
| Last updated in NPPES | January 6, 2024 |
| Certification date | January 6, 2024 |
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