Individual
BRIANNA REVELES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4760 SEPULVEDA BLVD., CULVER CITY, CA 90230
(310) 390-6612
(310) 398-5690
Mailing address
15888 ROXFORD STREET, SYLMAR, CA 91342
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/09/2023
Last updated
08/23/2024
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