Daniel Wayne Brown Jr., RADT
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Ceres, CA
NPI 1982173274 · NPPES record last updated Nov 16, 2018
Key facts
- NPI
- 1982173274
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 1904 Richland Ave
Ceres, CA 95307-4562 - Phone
- (209) 541-2573
- NPI assigned
- Nov 16, 2018
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
1904 Richland Ave
Ceres, CA 95307-4562
Mailing address
2521 Miller Ave Apt 55
Modesto, CA 95354-3179
Phone (209) 735-2689
Other providers in Ceres, CA
- Kristina Brenner
- James F Briggs
- Porsha Brooks
- Shavontay Jenaye Brooks
- Daesha Brown
- Garry Henry Brown
- Julia Lynette Brown
- Samantha Ann Bruno
- Lorena Bugarin
- Maria de Los Angeles Buriel
All providers in Ceres, 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 Nov 16, 2018. 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.