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BRENDA ALISAALEM

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1770724569

Individual Registrant:
 BRENDA  ALISAALEM 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
16460 VICTOR ST  VICTORVILLE, CA 92395-3918 US
Tel: 760-245-8837  Fax: 760-245-8893

Contact information for business:
16460 VICTOR ST  VICTORVILLE, CA 92395-3918 US
Tel: 760-245-8837  Fax: 760-245-8893

Registration Information:
NPI: 1770724569
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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