Provider Demographics
NPI:1174154082
Name:ADAMS, BREE AUNA (PSYD)
Entity type:Individual
Prefix:
First Name:BREE
Middle Name:AUNA
Last Name:ADAMS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5215 BOX CANYON CT UNIT A
Mailing Address - Street 2:
Mailing Address - City:YORBA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92887-3949
Mailing Address - Country:US
Mailing Address - Phone:714-403-8633
Mailing Address - Fax:
Practice Address - Street 1:14772 PIPELINE AVE STE D
Practice Address - Street 2:
Practice Address - City:CHINO HILLS
Practice Address - State:CA
Practice Address - Zip Code:91709-6027
Practice Address - Country:US
Practice Address - Phone:909-929-2300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-29
Last Update Date:2020-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSB94025193103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical