Individual
BRIAN TERELL BURLESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.A.
Contact information
Practice address
44447 10TH ST W, LANCASTER, CA 93534-3324
(661) 726-2630
Mailing address
200 E AVENUE R, BLDG. 8-106, PALMDALE, CA 93550-2601
(661) 726-2630
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/30/2007
Last updated
11/02/2007
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