Individual provider · Type 1 NPI
Maryann Ruth Molina Brookins, CSAC II, CADC II
Addiction (Substance Use Disorder) Counselor · Covelo, CA
NPI number
1649392234
Active
Practice location
23000 Henderson Ln.
Covelo, CA 95428
Fax (707) 983-6649
Mailing address
PO Box 508
Covelo, CA 95428-0508
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | RA840401 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1649392234
Maryann Ruth Molina Brookins, CSAC II, CADC II's National Provider Identifier is 1649392234, issued on Apr 4, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Covelo, CA. The record was last updated on Jul 8, 2007.