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Individual

BRETT BAYNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1334 POST AVE, TORRANCE, CA 90501-2620
(310) 328-2095
Mailing address
1334 POST AVE, TORRANCE, CA 90501-2620

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
952838006
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
952838006
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
952838006
NPI NUMBER
CA
Enumeration date
06/06/2013
Last updated
06/06/2013
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