Individual
MR. BRIAN RICK ATWELL SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
6500 MORRO RD, ATASCADERO, CA 93422-4142
(805) 461-5212
Mailing address
7246 REMMET AVE, CANOGA PARK, CA 91303-1531
(818) 206-0360
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT28932
CA
Other
Enumeration date
09/11/2007
Last updated
06/23/2024
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