Individual
BRENDA ROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3630 E IMPERIAL HWY, LYNWOOD, CA 90262-2609
(323) 234-4445
(323) 234-4477
Mailing address
PO BOX 3091, TORRANCE, CA 90510-3091
(323) 234-4445
(323) 234-4477
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
64278
CA
Other
Enumeration date
09/13/2011
Last updated
08/31/2015
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