Daniel Alexander Brandon
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Lotus, CA
NPI 1265086755 · NPPES record last updated Aug 1, 2019
Key facts
- NPI
- 1265086755
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 838 Beach CT
Lotus, CA 95651 - Phone
- (530) 626-7252
- NPI assigned
- Aug 1, 2019
- Sex
- Male
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CA | ||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
838 Beach CT
Lotus, CA 95651
Mailing address
PO Box 437
Coloma, CA 95613-0437
Other providers in Lotus, CA
- Derrick Hans Bonderud
- Tom Allen Clark
- Coloma Dental Office of Ruslan Zmievschi, Inc
- Kristina Donsbach
- Brangwyn Ursula Foley
- Daniel Lawrence Gilliland
All providers in Lotus, 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 Aug 1, 2019. 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.