Individual
MR. BRANDON RENE SOLARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1322 N AVALON BLVD, WILMINGTON, CA 90744-2639
(310) 513-0626
Mailing address
21600 OXNARD ST STE 1030, WOODLAND HILLS, CA 91367-5085
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/06/2019
Last updated
12/13/2021
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