BRANDON KAI SULLIVAN

ANAHEIM, CA
NPI1154913267
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R141757121)
Enumeration Date2021-02-09
Last Update Date2021-02-09
Business Address
BRANDON KAI SULLIVAN RADT
527 S ARCHER ST
ANAHEIM, CA 92804-2421
Phone number: 404-748-3372
Mailing Address
BRANDON KAI SULLIVAN RADT
527 S ARCHER ST
ANAHEIM, CA 92804-2421
Phone number: 404-748-3372
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