Individual
BRIAN M BALDWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SUDRC
Contact information
Practice address
1777 BUCKMAN SPRINGS RD, CAMPO, CA 91906-2022
(619) 705-0476
Mailing address
1777 BUCKMAN SPRINGS RD, CAMPO, CA 91906-2022
(619) 705-0476
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13893
CA
Other
Enumeration date
11/11/2022
Last updated
11/11/2022
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