Doctor Name: | MR. BRIAN COUEY |
NPI Number: | 1184957862 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 12450 Van Nuys Blvd Suite 200 Pacoima, CA - 913311391 |
Business Phone Number: | 8188961161 |
Business Fax Number: | 8188965069 |
Mailing Address: | 22110 Roscoe Blvd, Suite 204 CANOGA PARK |
State: | CA |
Postal Code: | 913043845 |
Phone Number: | 8187138700 |
Fax Number: | 8187138585 |
NPI Enumeration Date: | 09/11/2009 |
NPI Last Update Date: | 09/13/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |