Individual provider · Type 1 NPI

Kimberly Andrea Brisco

Addiction (Substance Use Disorder) Counselor · Los Angeles, CA

NPI number 1013155753 Active

Practice location

5436 S Broadway
Los Angeles, CA 90037-4126

Fax (323) 234-6265

Mailing address

645 E 120th St
Los Angeles, CA 90059-2721

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1013155753

Kimberly Andrea Brisco's National Provider Identifier is 1013155753, issued on Feb 3, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Los Angeles, CA. The record was last updated on Feb 3, 2009.