Individual
BURGESS GRAYDON BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSAC
Contact information
Practice address
22 PLANTATION ST APT 2, WORCESTER, MA 01604-4972
(949) 456-3714
Mailing address
4958 SARATOGA AVE, SAN DIEGO, CA 92107-2818
(949) 456-3714
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/01/2023
Last updated
03/01/2023
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