Individual
MISS BRENDA ALEJANDRA GOVEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
735 N D ST, SAN BERNARDINO, CA 92401-1111
(909) 381-5507
(909) 888-5938
Mailing address
735 N D ST, SAN BERNARDINO, CA 92401-1111
(909) 381-5507
(909) 888-5938
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3646
—
CA
Enumeration date
08/31/2011
Last updated
08/31/2011
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