BRIANNE LESLIE WILSON

TRABUCO CANYON, CA
NPI1710501580
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1347580519)
Enumeration Date2020-06-08
Last Update Date2020-06-08
Business Address
BRIANNE LESLIE WILSON RADT
20331 FLANAGAN ROAD
TRABUCO CANYON, CA 92679
Phone number: 818-582-8832
Mailing Address
BRIANNE LESLIE WILSON RADT
418 W STEVENS AVE APT C
SANTA ANA, CA 92707-5130
Phone number: 714-797-2046
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