Individual
BRANDON PATINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
311 E MERCED ST, FOWLER, CA 93625-2316
(559) 892-9452
Mailing address
311 E MERCED ST, FOWLER, CA 93625-2316
(559) 892-9452
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16153
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
CA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/16/2018
Last updated
11/09/2022
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