Individual
BRINA RYLIE BLACKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4902 SULLIVAN ST, VENTURA, CA 93003-5267
(805) 298-4958
Mailing address
4902 SULLIVAN ST, VENTURA, CA 93003-5267
(805) 298-4958
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1614060525
CA
Other
Enumeration date
06/08/2026
Last updated
06/08/2026
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