(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003555640
Provider Name: BRANDY LUISSHA BAGGETT
Entity Type: Individual
Taxonomy Code: 101YM0800X
Specialty: Counselor
License Number:
Most Important Dates
Enumeration Date: 06/01/2022
Last Updated: 06/01/2022
Provider Practice Location
1620 SANTA CLARA DR STE 100
ROSEVILLE
CA
956613559
Practice Location Phone/Fax
Phone: 9167863750
Fax: 9167863761
Provider Mailing Location
1620 SANTA CLARA DR STE 100
ROSEVILLE
CA
956613559
Provider Mailing Phone/Fax
Phone: 9167863750
Fax: 9167863761