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Individual
MR. BRIAN STANNARD
Active
Individual
MR. BRIAN STANNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC II
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
A062240323
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
R1312790618
CA
Other
Enumeration date
05/24/2019
Last updated
10/28/2024
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