Individual
BRETT BLADH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2200 E WAGNER AVE, ANAHEIM, CA 92806-4999
(714) 999-3621
Mailing address
2200 E WAGNER AVE, ANAHEIM, CA 92806-4999
(714) 999-3621
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/21/2025
Last updated
02/21/2025
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