Individual
BRIANNA ALYSE DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 18208, LOS ANGELES, CA 90018-0208
(510) 287-6852
Mailing address
PO BOX 18208, LOS ANGELES, CA 90018-0208
(510) 287-6852
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/05/2018
Last updated
03/24/2026
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