Individual
BRANDON GWYN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC I
Contact information
Practice address
1100 N D ST, SAN BERNARDINO, CA 92410-3524
(909) 884-0840
Mailing address
1100 N D ST, SAN BERNARDINO, CA 92410-3524
(909) 884-0840
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/16/2018
Last updated
12/27/2023
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