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DANIEL WAYNE BROWN RADT

Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1982173274

Individual Registrant:
 DANIEL WAYNE BROWN RADT
Gender: M
Sole Proprietor

Location and contact information for practice:
1904 RICHLAND AVE  CERES, CA 95307-4562 US
Tel: 209-541-2573  Fax: --

Contact information for business:
2521 MILLER AVE APT 55  MODESTO, CA 95354-3179 US
Tel: 209-735-2689  Fax: --

Registration Information:
NPI: 1982173274
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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