Individual provider · Type 1 NPI

Brian Allan Deaver, SUDRC

Addiction (Substance Use Disorder) Counselor · Stockton, CA

NPI number 1295589877 Active

Practice location

102 W Bianchi Rd
Stockton, CA 95207-7132

Call (209) 451-3628 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1295589877

Brian Allan Deaver, SUDRC's National Provider Identifier is 1295589877, issued on Apr 11, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Stockton, CA. The record was last updated on Apr 11, 2024.