Individual provider · Type 1 NPI

Paeton McKenzie Bruno, RADT

Addiction (Substance Use Disorder) Counselor · Trabuco Canyon, CA

NPI number 1629683495 Active

Practice location

20331 Flanagan Road
Trabuco Canyon, CA 92679

Fax (818) 582-8836

Mailing address

8 Brownstone Way
Aliso Viejo, CA 92656-2694

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1248830417 (CA)

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

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About NPI 1629683495

Paeton McKenzie Bruno, RADT's National Provider Identifier is 1629683495, issued on Sep 9, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Trabuco Canyon, CA. The record was last updated on Sep 9, 2020.