Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Mary Joan Brackin, HEALTHCOACH

Individual provider Prevention Professional · NPI 1801550652

MS. Mary Joan Brackin, HEALTHCOACH is a Prevention Professional in San Diego, California. Licensed in California. Registered with an NPI since 2021.

Licensed in
CA
In the registry since
2021
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Practice location Address checks out

11631 Cohansey Rd
San Diego, CA 92131-3617
Phone: (161) 984-0603
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prevention Professional (primary) Taxonomy 405300000X · Licence NONE (CA)

Record details

NPI number1801550652
Entity typeIndividual (Type 1)
GenderFemale
Credentials HEALTHCOACH
Sole proprietorNo
NPI enumeratedOctober 27, 2021
Last updated in NPPESOctober 27, 2021
Certification dateOctober 27, 2021

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