Organization · Type 2 NPI
Tia Brisco, Licensed Marriage and Family Therapy, Inc.
Adult Mental Health Clinic/Center · Northridge, CA
NPI number
1043840192
Active
Practice location
17130 Devonshire St Ste 104A
Northridge, CA 91325-1676
Other practice locations
- 190 Sierra Ct Ste 326, Palmdale, CA 93550-7619 · (661) 675-8756
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Mental Health Clinic/Center Primary | 261QM0850X | None listed |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | None listed |
Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
2 other providers at this address
Other adult mental health clinic/center providers in Northridge
About NPI 1043840192
Tia Brisco, Licensed Marriage and Family Therapy, Inc.'s National Provider Identifier is 1043840192, issued on Jan 16, 2020. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Northridge, CA. The record was last updated on Apr 25, 2020.