LONNIE BREWER

FREMONT, CA
NPI1215597760
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1322010918)
Enumeration Date2019-06-17
Last Update Date2019-06-17
Business Address
Mr. LONNIE BREWER RADT
37437 GLENMOOR DR
FREMONT, CA 94536-5731
Phone number: 510-713-3200
Mailing Address
Mr. LONNIE BREWER RADT
4510 PERALTA BLVD STE 1
FREMONT, CA 94536-5755
Phone number: 510-713-3202