person
Brian Eugene Petetan
Addiction (Substance Use Disorder) Counselor in Los Angeles, California
NPI 1073955696

Brian Eugene Petetan is an Addiction (Substance Use Disorder) Counselor based in Los Angeles, CA and is specialized in Addiction (Substance Use Disorder). Brian Eugene Petetan practices in Los Angeles, CA. The NPI Number for Brian Eugene Petetan is 1073955696 and holds a License No. (California).

The current practice location address for Brian Eugene Petetan is 3210 W Jefferson Blvd, Los Angeles, CA and can be reached out via phone at 626-533-2647.

Location: 3210 W Jefferson Blvd, Los Angeles, CA, 90018-3230
person
Provider Profile Details
NPI Number
1073955696
Provider Name
Brian Eugene Petetan
Credential
Provider Entity Type
Individual
Gender
Male
Address
3210 W Jefferson Blvd, Los Angeles, CA, 90018-3230
Phone Number
626-533-2647
Fax Number
Provider Enumeration Date
07/24/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3210 W Jefferson Blvd
City
State
Zip
90018-3230
Phone Number
626-533-2647
Fax Number
person
Provider Business Mailing Address Details
Address
3210 W Jefferson Blvd
City
State
Zip
90018-3230
Phone Number
626-533-2647
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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