CorpID/LocID

Practitioner List:

 SAN FERNANDO RECOVERY CENTER
 762, 734, 732 Griswold Avenue,
 San Fernando, CA  91340

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First NameLast NamePractitioner TypeNPICalifornia License NumberCalifornia License TypeCultural Competence Training
ADRIANREVELES Licensed Clinical Social Worker (LCSW) 1891253613112718Board of Behavioral Sciences (LCSW, LPCC, LMFT)Yes
DAKOTABROWN Licensed Marriage and Family Therapist (LMFT) 1083121008129663Board of Behavioral Sciences (LCSW, LPCC, LMFT)Yes
MAGEDBOTROS Physician (MD or DO) 1619102738A106640Medical Board of California (MD or DO)Yes
YESENIABURGOS Licensed Eligible Practitioner working under the supervision of a Licensed Clinician 1346847084125490Board of Behavioral Sciences (LCSW, LPCC, LMFT)Yes