Individual
MR. BRIAN GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1425 N PLACENTIA AVE, # 77, FULLERTON, CA 92831-2575
(714) 834-2676
Mailing address
1425 N PLACENTIA AVE, # 77, FULLERTON, CA 92831-2575
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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