Individual
MISS BRITTANI VINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
THERAPIST
Contact information
Practice address
57131 LAKEVIEW RD, BAKER, CA 92309
(909) 389-8582
Mailing address
PO BOX 70, REDLANDS, CA 92373-0021
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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