BRIAN SEVERNS

SAN JOSE, CA
NPI1871157685
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1344310419)
Enumeration Date2019-04-26
Last Update Date2019-04-26
Business Address
BRIAN SEVERNS RADT R1344310419
2218 N 1ST ST
SAN JOSE, CA 95131-2007
Phone number: 408-538-0893
Mailing Address
BRIAN SEVERNS RADT R1344310419
2218 N 1ST ST
SAN JOSE, CA 95131-2007
Phone number: 408-538-0893
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