Garry Henry Brown, D.TH

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

NPI 1497531016 · NPPES record last updated Sep 8, 2023

Key facts

NPI
1497531016
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
1768 Mitchell Rd Ste 301
Ceres, CA 95307-2156
Phone
(209) 388-3027
Fax
(209) 416-4110
NPI assigned
Sep 8, 2023
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)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Yes

Addresses

Primary practice location

1768 Mitchell Rd Ste 301
Ceres, CA 95307-2156

Mailing address

1768 Mitchell Rd Ste 301
Ceres, CA 95307-2156
Phone (209) 388-3027

Other providers in Ceres, CA

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

Sources for this page

Verify at the official NPI Registry.