Individual
MS. BRENDA CORNEJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14530 SYLVAN ST, VAN NUYS, CA 91411-2324
(818) 582-8832
(818) 582-8836
Mailing address
10564 HADDON AVE APT 607, PACOIMA, CA 91331-2974
(323) 818-8673
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
RT1444740526
CA
374700000X
Technician
Primary
—
—
Other
Enumeration date
02/10/2025
Last updated
05/26/2026
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