person
Bryan Scott Fiddler
Addiction (Substance Use Disorder) Counselor in San Jose, California
NPI 1770742744

Bryan Scott Fiddler is an Addiction (Substance Use Disorder) Counselor based in San Jose, CA and is specialized in Addiction (Substance Use Disorder). Bryan Scott Fiddler practices in San Jose, CA. The NPI Number for Bryan Scott Fiddler is 1770742744 and holds a License No. 070000118 (California).

The current practice location address for Bryan Scott Fiddler is 1333 Meridian Ave, San Jose, CA and can be reached out via phone at 408-445-3400 and via fax at 408-269-1952.

Location: 1333 Meridian Ave, San Jose, CA, 95125-5212
person
Provider Profile Details
NPI Number
1770742744
Provider Name
Bryan Scott Fiddler
Credential
Provider Entity Type
Individual
Gender
Male
Address
1333 Meridian Ave, San Jose, CA, 95125-5212
Phone Number
408-445-3400
Fax Number
408-269-1952
Provider Enumeration Date
06/05/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
FHC11833F 01 CA MEDICAL
institution
Provider Business Practice Location Address Details
Address
1333 Meridian Ave
City
State
Zip
95125-5212
Phone Number
408-445-3400
Fax Number
408-269-1952
person
Provider Business Mailing Address Details
Address
1333 Meridian Ave
City
State
Zip
95125-5212
Phone Number
408-445-3400
Fax Number
408-269-1952
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
070000118 (California)
Definition
Definition to come...
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