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Individual
MR. BRIAN J WILLEMS
Active
Individual
MR. BRIAN J WILLEMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CI35270322
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CI35270322
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
RR1372341219
CA
Other
Enumeration date
03/28/2020
Last updated
01/24/2023
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