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JOEL BRAMBILA
Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1588781371
Individual Registrant: JOEL BRAMBILA
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
1904 RICHLAND AVE CERES, CA 95307-4562 US
Tel: 209-541-2155 Fax: --
Tel: 209-541-2155 Fax: --
Contact information for business:
1908 CALUMET WAY OAKDALE, CA 95361-7783 US
Tel: 209-848-2919 Fax: --
Tel: 209-848-2919 Fax: --
Registration Information:
NPI: 1588781371
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 101YA0400X | Behavioral Health & Social Service Providers Counselor Addiction (Substance Use Disorder) |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
