Individual
MR. BRIAN J WILLEMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CI35270322
Contact information
Practice address
1310 M ST, FRESNO, CA 93721-1808
(559) 264-2700
Mailing address
1300 W OLSON AVE SPC 102, REEDLEY, CA 93654-3658
(949) 294-8852
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CI35270322
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
RR1372341219
CA
Other
Enumeration date
03/28/2020
Last updated
01/24/2023
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