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Individual

BRIAN THOMAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
9442 INTERNATIONAL BLVD, OAKLAND, CA 94603-1444
(510) 777-8448
Mailing address
9442 INTERNATIONAL BLVD, OAKLAND, CA 94603-1444
(510) 777-8448

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
019650
CA
Enumeration date
12/26/2013
Last updated
12/26/2013
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