Individual
BRETT RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1720 EAST 120TH ST, LOS ANGELES, CA 90059-0381
(310) 971-8711
Mailing address
PO BOX 83381, LOS ANGELES, CA 90083-0381
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
95179
CA
Other
Enumeration date
05/26/2021
Last updated
06/07/2023
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