Individual
LESLEY BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
164777 MERRILL, FONTANA, CA 92335
(951) 643-2340
Mailing address
146777 MERRILL AVE, FONTANA, CA 92335
(951) 643-2304
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
CA
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/22/2024
Last updated
03/07/2024
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