Individual
MR. BRIAN ARTHUR HAESLOOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3990 INDUSTRIAL BLVD, WEST SACRAMENTO, CA 95691-3430
(916) 796-0020
(916) 796-0045
Mailing address
2501 LOS FELIZ WAY, CARMICHAEL, CA 95608-5344
(916) 402-9185
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
A06960315
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
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Other
Enumeration date
09/11/2009
Last updated
09/17/2021
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