Individual
BRIAN JORDAN SOBOCINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RADT-1
Contact information
Practice address
2986 COLOMA ST, PLACERVILLE, CA 95667-4441
(530) 748-3706
Mailing address
838 BEACH CT., LOTUS, CA 95651-4441
(530) 626-7252
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CI27210419
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
03/13/2018
Last updated
05/11/2020
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