Individual
MR. BRIAN NEAL GREENLEAF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC II
Contact information
Practice address
44359 PALM ST, INDIO, CA 92201-3116
(760) 342-6616
(760) 342-8073
Mailing address
44359 PALM ST, INDIO, CA 92201-3116
(760) 342-6616
(760) 342-8073
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
A063790224
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1881788503
MEDI-CAL
CA
Enumeration date
03/28/2019
Last updated
02/12/2024
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