1. Home
  2. Directory
  3. California
  4. San Pedro
  5. Counselor
  6. NPI Profile

BRENT REESHA
NPI 1891299855
Counselor - Addiction (Substance Use Disorder) in San Pedro, CA

Active since March 22, 2018
1003 S BEACON ST, SAN PEDRO, CA 90731(310) 514-4940 Get Directions Write a Review

NPPES record last updated: March 22, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brent Reesha NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRENT REESHA (NPI 1891299855) is an individual addiction (substance use disorder) provider in San Pedro, California and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1891299855
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameBRENT REESHA
Location Address1003 S BEACON STSan Pedro, CA 90731-4324
Mailing Address1003 S Beacon StSan Pedro, CA 90731-4324
Phone(310) 514-4940
Sole ProprietorYes
Enumeration DateMarch 22, 2018
✔ NPI 1891299855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
1003 S BEACON ST, San Pedro, CA 90731
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSEPH D HARRINGTON RADT
Counselor (Addiction (Substance Use Disorder))
1003 S BEACON ST
SAN PEDRO, CA 90731
Los Angeles County (310) 514-4940
AARON ROGER CRANDELL
Counselor (Addiction (Substance Use Disorder))
1003 S BEACON ST
SAN PEDRO, CA 90731
Los Angeles County (310) 868-9583
MARTIN GALLARDO RADT
Counselor (Addiction (Substance Use Disorder))
1003 S BEACON ST
SAN PEDRO, CA 90731
Los Angeles County (310) 514-4940
RAYMOND SETH MORENO
Counselor (Addiction (Substance Use Disorder))
1003 S BEACON ST
SAN PEDRO, CA 90731
Los Angeles County (310) 514-4940
KYLE VINCENT CONNEALLY
Counselor (Addiction (Substance Use Disorder))
1003 S BEACON ST
SAN PEDRO, CA 90731
Los Angeles County (310) 514-4940
MR. JOSEPH TYLER DUGGAN RAC
Counselor (Addiction (Substance Use Disorder))
1003 S BEACON ST
SAN PEDRO, CA 90731
Los Angeles County (310) 514-4940
MR. MATTHEW R KEOUGH
Counselor (Addiction (Substance Use Disorder))
1003 S BEACON ST
SAN PEDRO, CA 90731
Los Angeles County (310) 514-4940
MR. DANDRE JONES
Counselor (Addiction (Substance Use Disorder))
1003 S BEACON ST
SAN PEDRO, CA 90731
Los Angeles County (424) 772-9669

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brent Reesha's NPI number?

The NPI number for Brent Reesha is 1891299855. It was assigned to this individual provider in the NPPES registry on March 22, 2018.

Where is Brent Reesha located?

Brent Reesha practices at 1003 S Beacon St, San Pedro, CA 90731. The listed phone number is (310) 514-4940.

What is Brent Reesha's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Brent Reesha was last updated on March 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.