person
Kimberly Andrea Brisco
Addiction (Substance Use Disorder) Counselor in Los Angeles, California
NPI 1013155753

Kimberly Andrea Brisco is an Addiction (Substance Use Disorder) Counselor based in Los Angeles, CA and is specialized in Addiction (Substance Use Disorder). Kimberly Andrea Brisco practices in Los Angeles, CA. The NPI Number for Kimberly Andrea Brisco is 1013155753 and holds a License No. (California).

The current practice location address for Kimberly Andrea Brisco is 5436 S Broadway, Los Angeles, CA and can be reached out via phone at 323-234-6261 and via fax at 323-234-6265.

Location: 5436 S Broadway, Los Angeles, CA, 90059-2721
person
Provider Profile Details
NPI Number
1013155753
Provider Name
Kimberly Andrea Brisco
Credential
Provider Entity Type
Individual
Gender
Female
Address
5436 S Broadway, Los Angeles, CA, 90059-2721
Phone Number
323-234-6261
Fax Number
323-234-6265
Provider Enumeration Date
02/03/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
195709A 01 MEDICAL
institution
Provider Business Practice Location Address Details
Address
5436 S Broadway
City
State
Zip
90037-4126
Phone Number
323-234-6261
Fax Number
323-234-6265
person
Provider Business Mailing Address Details
Address
5436 S Broadway
City
State
Zip
90037-4126
Phone Number
323-234-6261
Fax Number
323-234-6265
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
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Definition
Definition to come...
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