Individual
BRIANNA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3286 E GUASTI RD, ONTARIO, CA 91761-8645
(909) 476-2023
Mailing address
3286 E GUASTI RD STE 100, ONTARIO, CA 91761-8646
(909) 479-3836
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1473100622
CA
Other
Enumeration date
05/10/2023
Last updated
11/01/2023
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