Provider Demographics
NPI:1477262921
Name:RINE, BRITTANY DONN (LMCHA)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:DONN
Last Name:RINE
Suffix:
Gender:F
Credentials:LMCHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:709 SWARTHMORE AVE
Mailing Address - Street 2:
Mailing Address - City:PACIFIC PALISADES
Mailing Address - State:CA
Mailing Address - Zip Code:90272-4354
Mailing Address - Country:US
Mailing Address - Phone:614-832-3339
Mailing Address - Fax:
Practice Address - Street 1:709 SWARTHMORE AVE
Practice Address - Street 2:
Practice Address - City:PACIFIC PALISADES
Practice Address - State:CA
Practice Address - Zip Code:90272-4354
Practice Address - Country:US
Practice Address - Phone:614-832-3339
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-22
Last Update Date:2022-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61121257101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health