Vanessa Nicole Brown, RADT
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Galt, CA
NPI 1043900913 · NPPES record last updated May 12, 2023
Key facts
- NPI
- 1043900913
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- R1506540523 (CA)
- Practice address
- 750 Spaans Dr Ste F
Galt, CA 95632-8609 - Phone
- (209) 744-9909
- Fax
- (209) 744-9910
- NPI assigned
- May 12, 2023
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R1506540523 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | R1506540523 | CA | Yes |
Addresses
Primary practice location
750 Spaans Dr Ste F
Galt, CA 95632-8609
Mailing address
750 Spaans Dr Ste F
Galt, CA 95632-8609
Phone (209) 744-9909
Other practice location 1
330 S Fairmont Ave
Lodi, CA 95240-3958
Phone (209) 744-9909
Other providers in Galt, CA
- Britani Lynn Boudreau
- Kristi Bowen
- Krystle Marie Boyd
- Julia Brown
- Kevin Lee Brown
- Lynn Ann Burns
- Molly Campbell
- Carley Campion
- Mariah A Capulong Gonzalez
- Alaina Acelyn Trishell Carmona
All providers in Galt, CA · Addiction (Substance Use Disorder) Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.