Individual
BRITTEN THERESE DEVEREUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADAC
Contact information
Practice address
26732 CROWN VALLEY PKWY STE 443, MISSION VIEJO, CA 92691-6375
(949) 200-7929
Mailing address
26732 CROWN VALLEY PKWY STE 443, MISSION VIEJO, CA 92691-6375
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LR02090516
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LR02090516
CCAPP LICENSE NUMBER
CA
Enumeration date
07/20/2020
Last updated
07/20/2020
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