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BRENDA IVONNE AESCHBACHER
Clinical >> Social Worker >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1689921959
Individual Registrant: BRENDA IVONNE AESCHBACHER
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
12821 VICTORY BLVD NORTH HOLLYWOOD, CA 91606-3012 US
Tel: 818-432-5025 Fax: 818-766-3926
Tel: 818-432-5025 Fax: 818-766-3926
Contact information for business:
8510 BALBOA BLVD STE 150 NORTHRIDGE, CA 91325-5810 US
Tel: 818-205-5193 Fax: 818-540-3258
Tel: 818-205-5193 Fax: 818-540-3258
Registration Information:
NPI: 1689921959
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1041C0700X | Behavioral Health & Social Service Providers Social Worker Clinical | ||
| N | 101YM0800X | Behavioral Health & Social Service Providers Counselor |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
