GLEN BRINAGH

STANTON, CA
NPI1730488362
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2011-03-22
Last Update Date2011-03-22
Business Address
-- GLEN BRINAGH
10751 DALE AVE
STANTON, CA 90680-2604
Phone number: 714-821-5311
Mailing Address
-- GLEN BRINAGH
10751 DALE AVE
STANTON, CA 90680-2604
Phone number: