Individual
MR. BRIAN MICHAEL JOLLIFFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAADE
Contact information
Practice address
620 N ASH ST, ESCONDIDO, CA 92027-1902
(760) 741-7708
(760) 741-5421
Mailing address
9932 KIKA CT, 3211, SAN DIEGO, CA 92129-5057
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
030703
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37AB
—
CA
Enumeration date
05/23/2007
Last updated
07/08/2007
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