Individual
ALIYA NICOLE BRENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5318 CRENSHAW BLVD, LOS ANGELES, CA 90043-1810
(323) 293-6291
(323) 293-1091
Mailing address
1730 E ANAHEIM ST, LONG BEACH, CA 90813-3905
(562) 218-9530
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/25/2023
Last updated
01/06/2024
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