Individual
BRENT H TESTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3340 KEMPER ST STE 105, SAN DIEGO, CA 92110-4907
(619) 523-8121
Mailing address
3340 KEMPER ST STE 105, SAN DIEGO, CA 92110-4907
(619) 523-8121
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/07/2018
Last updated
06/07/2018
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