Breanny Andrade
Social Worker, Clinical in Van Nuys, CA. Individual provider (NPI-1).
NPI number1417617929
StatusActive
Last updated in NPPESJan 13, 2023
Details
- NPI
- 1417617929
- Entity type
- Individual (NPI-1)
- Name
- Breanny Andrade
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 23, 2021
- Certification date
- Jan 13, 2023
- Last updated
- Jan 13, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 112445 | CA | Yes |
| 225400000X | Rehabilitation Practitioner | – | CA |
Practice location
16360 Roscoe Blvd Fl 2Van Nuys, CA 91406-1219
Phone 818-826-1345
Mailing address
16360 Roscoe Blvd Fl 2Van Nuys, CA 91406-1219
Phone 818-826-1345
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