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
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None 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.