Individual
BRANDY D. FAJARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SUDRC
Contact information
Practice address
220 EUCLID AVE STE 40, SAN DIEGO, CA 92114-3617
(619) 727-8921
Mailing address
220 EUCLID AVE STE 40, SAN DIEGO, CA 92114-3617
(619) 727-8921
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11677
CA
Other
Enumeration date
06/27/2022
Last updated
07/15/2024
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