Individual provider · Type 1 NPI
Brandon Michael Robertson, CAS
Addiction (Substance Use Disorder) Counselor · Fresno, CA
NPI number
1629134598
Active
Practice location
125 E Dakota Ave Apt 104
Fresno, CA 93704-4073
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 02-075241 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1629134598
Brandon Michael Robertson, CAS's National Provider Identifier is 1629134598, issued on Dec 28, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fresno, CA. The record was last updated on Dec 28, 2007.