Individual
RYAN ALLEN BRABRAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCAS-A
Contact information
Practice address
1221 FLORAL PKWY STE 207, WILMINGTON, NC 28403-6235
(910) 465-8972
Mailing address
321 S 5TH AVE APT B, WILMINGTON, NC 28401-4518
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-23891
NC
Other
Enumeration date
11/20/2017
Last updated
11/20/2017
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