Stephanie Brane

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · San Jacinto, CA

NPI 1023844933 · NPPES record last updated Sep 9, 2024

Key facts

NPI
1023844933
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
23931 Warren Rd
San Jacinto, CA 92582-3795
Phone
(951) 330-4568
Fax
(951) 257-7194
NPI assigned
Sep 9, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Yes

Addresses

Primary practice location

23931 Warren Rd
San Jacinto, CA 92582-3795

Mailing address

23931 Warren Rd
San Jacinto, CA 92582-3795
Phone (951) 330-4568

Other providers in San Jacinto, CA

All providers in San Jacinto, CA · Addiction (Substance Use Disorder) Counselor in California

Sources for this page

Verify at the official NPI Registry.