Individual
BRENNA SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RADT-1
Contact information
Practice address
3430 COGSWELL RD, EL MONTE, CA 91732-2785
(626) 453-3400
Mailing address
3430 COGSWELL RD, EL MONTE, CA 91732-2785
(626) 453-3400
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1511350623
CA
Other
Enumeration date
10/24/2023
Last updated
11/12/2025
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