CHARLES BRANNON

GRASS VALLEY, CA
NPI1881922896
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2009-12-02
Last Update Date2009-12-02
Business Address
-- CHARLES BRANNON
440 HENDERSON ST STE C
GRASS VALLEY, CA 95945-7374
Phone number: 530-273-9541
Mailing Address
-- CHARLES BRANNON
440 HENDERSON ST STE C
GRASS VALLEY, CA 95945-7374
Phone number: 530-273-9541