Individual provider · Type 1 NPI

John Brandom

Addiction (Substance Use Disorder) Counselor · Riverside, CA

NPI number 1285499582 Active

Practice location

4440 University Ave
Riverside, CA 92501-3199

Mailing address

5870 Arlington Ave
Riverside, CA 92504-2037

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1541320124 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1285499582

John Brandom's National Provider Identifier is 1285499582, issued on Feb 15, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Riverside, CA. The record was last updated on Feb 15, 2024.