Individual
BRENDA WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1233 S LA CIENEGA BLVD, LOS ANGELES, CA 90035-2520
(310) 751-5344
Mailing address
4760 SEPULVEDA BLVD, CULVER CITY, CA 90230-4820
(310) 390-6612
(310) 398-5690
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101YA0400X
SUBSTANCE ABUSE COUNSELOR
CA
Enumeration date
09/22/2014
Last updated
09/22/2014
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