Individual
BRENDA GUEVARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3870 CRENSHAW BLVD STE 212, LOS ANGELES, CA 90008-1815
(323) 290-5058
(323) 299-7160
Mailing address
1153 E 34TH ST, LOS ANGELES, CA 90011-2119
(323) 702-5525
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
104100000X
Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/15/2019
Last updated
03/01/2023
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