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AUDRA ANNE BIRNDORF

Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1356578850

Individual Registrant:
 AUDRA ANNE BIRNDORF 
Gender: F
Sole Proprietor

Location and contact information for practice:
2049 SKYLINE DR  LEMON GROVE, CA 91945-4221 US
Tel: 619-465-7303  Fax: 161-946-6467

Contact information for business:
2049 SKYLINE DR  LEMON GROVE, CA 91945-4221 US
Tel: 619-465-7303  Fax: 161-946-6467

Registration Information:
NPI: 1356578850
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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