Individual
MR. BRENDAN GARY BICKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC II, PSYD
Contact information
Practice address
13800 ARIZONA ST, WESTMINSTER, CA 92683-3951
(714) 373-2945
Mailing address
609 1/2 CARNATION AVE, CORONA DEL MAR, CA 92625-2018
(949) 394-2133
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
A2001006
CA
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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