Individual
AUDRA ANNE BIRNDORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2049 SKYLINE DR, LEMON GROVE, CA 91945-4221
(619) 465-7303
(161) 946-6467
Mailing address
2049 SKYLINE DR, LEMON GROVE, CA 91945-4221
(619) 465-7303
(161) 946-6467
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/11/2009
Last updated
06/11/2009
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