Individual
AUDREA JEANNE PENA BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RADTI
Contact information
Practice address
37540 97TH ST E, LITTLEROCK, CA 93543-1206
(661) 234-2110
Mailing address
37540 97TH ST E, LITTLEROCK, CA 93543-1206
(661) 234-2110
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/13/2017
Last updated
11/13/2017
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