Tia Brisco, Licensed Marriage and Family Therapy, Inc.
NPI #1043840192 in Northridge, California
Provider Information
- NPI Number
- 1043840192
- Entity Type
- Organization
- Organization Name
- Tia Brisco, Licensed Marriage and Family Therapy, Inc.
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- Jan 16, 2020
- Last Updated
- Apr 25, 2020
Practice Location
- Address
- 17130 DEVONSHIRE ST STE 104A
- City
- Northridge
- State
- California
- ZIP Code
- 91325-1676
- Phone
- (661) 675-8756
Authorized Official
- Name
- TIA BRISCO, LMFT
- Title
- OWNER
- Phone
- (661) 675-8756
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health |
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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