Individual
BRIANNA ALEXIS ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, RADT
Contact information
Practice address
8140 SUNLAND BLVD, SUN VALLEY, CA 91352-3948
(818) 582-8832
(818) 582-8836
Mailing address
30755 WESLEY WAY, CANYON COUNTRY, CA 91390-1401
(818) 355-7971
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1395020620
CA
Other
Enumeration date
06/24/2020
Last updated
06/24/2020
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