Provider Demographics
NPI:1780871046
Name:BROTHERS, RIKKI LINN (RRW,CDC)
Entity type:Individual
Prefix:MS
First Name:RIKKI
Middle Name:LINN
Last Name:BROTHERS
Suffix:
Gender:F
Credentials:RRW,CDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12408 VAN NUYS BLVD APT 3
Mailing Address - Street 2:
Mailing Address - City:PACOIMA
Mailing Address - State:CA
Mailing Address - Zip Code:91331-1333
Mailing Address - Country:US
Mailing Address - Phone:818-896-7120
Mailing Address - Fax:
Practice Address - Street 1:8604 LANKERSHIM BLVD
Practice Address - Street 2:
Practice Address - City:SUN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:91352-3140
Practice Address - Country:US
Practice Address - Phone:818-768-1600
Practice Address - Fax:818-768-1680
Is Sole Proprietor?:No
Enumeration Date:2007-10-01
Last Update Date:2007-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)