Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) |
NPI | 1003082744 |
---|---|
Provider Name | Ms. La Rhonda Monique Brown-Bradley |
First Address | Los Angeles, CA 90003-1311 |
Second Address | Los Angeles, CA 90003-1311 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2008 |
Last Update Date | 08/08/2017 |