| Doctor Name: | MR. BRIAN SERNA |
| NPI Number: | 1013240746 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPCC, LADAC |
| License Number: | 0093101 |
| Business Practice Address: | 2904 Avenida Alamosa Santa Fe, NM - 875070454 |
| Business Phone Number: | 5056605673 |
| Business Fax Number: | |
| Mailing Address: | 2904 Avenida Alamosa, SANTA FE |
| State: | NM |
| Postal Code: | 870220580 |
| Phone Number: | |
| Fax Number: | 5058694584 |
| NPI Enumeration Date: | 09/14/2009 |
| NPI Last Update Date: | 11/15/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 0093101 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NM |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |