Provider Demographics
NPI:1871094557
Name:MUNOZ, BRITTANY MARIE (BSW-RADT-1)
Entity type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:MARIE
Last Name:MUNOZ
Suffix:
Gender:F
Credentials:BSW-RADT-1
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2864 HILLTOP DR
Mailing Address - Street 2:
Mailing Address - City:PLACERVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95667-4329
Mailing Address - Country:US
Mailing Address - Phone:530-350-0150
Mailing Address - Fax:
Practice Address - Street 1:838 BEACH COURT
Practice Address - Street 2:
Practice Address - City:LOTUS
Practice Address - State:CA
Practice Address - Zip Code:95613
Practice Address - Country:US
Practice Address - Phone:530-626-7252
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-27
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAR1287220118101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)