Individual provider · Type 1 NPI

Brianne Leslie Wilson, RADT

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

NPI number 1710501580 Active

Practice location

20331 Flanagan Road
Trabuco Canyon, CA 92679

Fax (818) 582-8836

Mailing address

418 W Stevens Ave Apt C
Santa Ana, CA 92707-5130

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1347580519 (CA)

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

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About NPI 1710501580

Brianne Leslie Wilson, RADT's National Provider Identifier is 1710501580, issued on Jun 8, 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 Jun 8, 2020.