| Doctor Name: | MS. JOAN BEVERLY LAND |
| NPI Number: | 1033123831 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS |
| License Number: | MFC25272 |
| Business Practice Address: | 1370 Brea Blvd Ste 144 Fullerton, CA - 928354123 |
| Business Phone Number: | 7145268433 |
| Business Fax Number: | 7142571017 |
| Mailing Address: | Po Box 9801, BREA |
| State: | CA |
| Postal Code: | 928221801 |
| Phone Number: | 7145268433 |
| Fax Number: | 7142571017 |
| NPI Enumeration Date: | 07/28/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MFC25272 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |