Brittani Vines, Therapist
Counselor, Addiction (Substance Use Disorder) in Baker, CA. Individual provider (NPI-1).
NPI number1619703600
StatusActive
Last updated in NPPESSep 9, 2024
Details
- NPI
- 1619703600
- Entity type
- Individual (NPI-1)
- Name
- Miss Brittani Vines
- Credential
- Therapist
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 9, 2024
- Certification date
- Sep 3, 2024
- Last updated
- Sep 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
Practice location
57131 Lakeview RdBaker, CA 92309
Phone 909-389-8582
Mailing address
Po Box 70Redlands, CA 92373-0021
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