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SERGE BRONSTEIN

School >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1902260151

Individual Registrant:
 SERGE  BRONSTEIN 
Gender: M
Sole Proprietor

Location and contact information for practice:
16808 MAIN ST. D-154 HESPERIA, CA 92345 US
Tel: 714-367-6193  Fax: --

Contact information for business:
16808 MAIN ST. D-154 HESPERIA, CA 92345 US
Tel: 714-367-6193  Fax: --

Registration Information:
NPI: 1902260151
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YS0200XBehavioral Health & Social Service Providers
Counselor
School

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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