Individual
BRENDA JEANETTE CISNEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14500 ROSCOE BLVD STE 400, PANORAMA CITY, CA 91402-4194
(800) 764-8981
Mailing address
14500 ROSCOE BLVD STE 400, PANORAMA CITY, CA 91402-4194
(800) 764-8981
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
ASW73239
CA
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
LCSW107694
CA
Other
Enumeration date
08/31/2015
Last updated
05/04/2022
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