Individual
BRANDON JAMES SHORTNACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RADT1
Contact information
Practice address
4576 E SHIELDS AVE, FRESNO, CA 93726-7220
(559) 371-2546
(559) 258-0249
Mailing address
4576 E SHIELDS AVE, FRESNO, CA 93726-7220
(559) 371-2546
(559) 258-0249
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1620040725
CA
Other
Enumeration date
09/29/2025
Last updated
09/29/2025
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