Individual
BRANDON WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1234 EMPIRE ST, FAIRFIELD, CA 94533-5711
(510) 317-1444
Mailing address
1234 EMPIRE ST, FAIRFIELD, CA 94533-5711
(510) 317-1444
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
07/22/2016
Last updated
05/16/2025
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