Individual
MR. BRIAN GREENWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC II
Contact information
Practice address
20051 SW BIRCH ST, NEWPORT BEACH, CA 92660-1708
(213) 924-6442
Mailing address
20051 SW BIRCH ST, NEWPORT BEACH, CA 92660-1708
(213) 924-6442
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
A046300917
CA
Other
Enumeration date
03/29/2021
Last updated
04/20/2021
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