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Individual
MR. BRIAN NEAL GREENLEAF
Active
Individual
MR. BRIAN NEAL GREENLEAF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC II
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
A063790224
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1881788503
MEDI-CAL
CA
Enumeration date
03/28/2019
Last updated
02/12/2024
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