Individual provider · Type 1 NPI
Brandon Stoa
Addiction (Substance Use Disorder) Counselor · San Pedro, CA
NPI number
1629780705
Active
Practice location
505 S Pacific Ave
San Pedro, CA 90731-2656
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 23304 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1629780705
Brandon Stoa's National Provider Identifier is 1629780705, issued on Dec 20, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Pedro, CA. The record was last updated on Jul 31, 2024.