person
Mr. Brian Neal Greenleaf, CADCII
Addiction (Substance Use Disorder) Counselor in Indio, California
NPI 1457812885

Brian Neal Greenleaf is an Addiction (Substance Use Disorder) Counselor based in Indio, CA and is specialized in Addiction (Substance Use Disorder). Brian Neal Greenleaf practices in Indio, CA and has the professional credentials of CADCII. The NPI Number for Brian Neal Greenleaf is 1457812885 and holds a License No. A063790224 (California).

The current practice location address for Brian Neal Greenleaf is 44359 Palm St, Indio, CA and can be reached out via phone at 760-342-6616 and via fax at 760-342-8073.

Location: 44359 Palm St, Indio, CA, 92201-3116
person
Provider Profile Details
NPI Number
1457812885
Provider Name
Brian Neal Greenleaf
Credential
CADCII
Provider Entity Type
Individual
Gender
Male
Address
44359 Palm St, Indio, CA, 92201-3116
Phone Number
760-342-6616
Fax Number
760-342-8073
Provider Enumeration Date
03/28/2019
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1881788503 01 CA MEDI-CAL
institution
Provider Business Practice Location Address Details
Address
44359 Palm St
City
State
Zip
92201-3116
Phone Number
760-342-6616
Fax Number
760-342-8073
person
Provider Business Mailing Address Details
Address
44359 Palm St
City
State
Zip
92201-3116
Phone Number
760-342-6616
Fax Number
760-342-8073
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
A063790224 (California)
Definition
Definition to come...
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