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JOEL BRAMBILA

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

Registrant NPI Number: 1588781371

Individual Registrant:
 JOEL  BRAMBILA 
Gender: M
Sole Proprietor

Location and contact information for practice:
1904 RICHLAND AVE  CERES, CA 95307-4562 US
Tel: 209-541-2155  Fax: --

Contact information for business:
1908 CALUMET WAY  OAKDALE, CA 95361-7783 US
Tel: 209-848-2919  Fax: --

Registration Information:
NPI: 1588781371
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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