BRYAN DE JUSTIN

MODESTO, CA
NPI1356127096
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2023-09-07
Last Update Date2023-09-07
Business Address
BRYAN DE JUSTIN
1235 MCHENRY AVE SUITE #A & #B
MODESTO, CA 95350
Phone number: 209-527-4597
Mailing Address
BRYAN DE JUSTIN
2704 MEDINAH WAY
MODESTO, CA 95355-9619
Phone number: 408-888-4587