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Individual

BRENDAN WOODS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
24468 SUNLIGHT LN, LAGUNA NIGUEL, CA 92677-7828
(619) 519-3054
Mailing address
24468 SUNLIGHT LN, LAGUNA NIGUEL, CA 92677-7828
(619) 519-3054

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01
DHCS
Enumeration date
10/07/2020
Last updated
10/07/2020
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