Individual
AUBREY FREITAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
907 PICO BLVD, SANTA MONICA, CA 90405-1326
(310) 314-6200
Mailing address
3425 COFFEE RD STE C2, MODESTO, CA 95355-1582
(559) 415-5957
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/18/2020
Last updated
10/18/2023
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