BRIAN WILSON

ANAHEIM, CA
NPI1801784483
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1618630625)
Enumeration Date2025-06-24
Last Update Date2025-06-24
Business Address
BRIAN WILSON
701 W BROADWAY
ANAHEIM, CA 92805-3604
Phone number: 800-736-9295
Mailing Address
BRIAN WILSON
701 W BROADWAY
ANAHEIM, CA 92805-3604
Phone number: