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Individual

ADRIENNE ALYSSA TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
261 D ST, BRAWLEY, CA 92227-1912
(760) 344-2330
Mailing address
480 ALTA RD, SAN DIEGO, CA 92179-0001
(760) 996-8220

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
13640
CA
1041S0200X
School Social Worker
120692
CA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
120692
CA

Other

Enumeration date
07/12/2023
Last updated
07/14/2025
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