Individual
MR. BRET LEON REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
245 INGER DR, SUITE 103/B, SANTA MARIA, CA 93454-8669
(805) 357-5902
Mailing address
141 N 10TH ST, GROVER BEACH, CA 93433-2140
(805) 710-7341
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/17/2012
Last updated
05/17/2012
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