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Brian Earl Warrensford
Student in an Organized Health Care Education/Training Program in Grass Valley, California
NPI 1972112415

Brian Earl Warrensford is a Student in an Organized Health Care Education/Training Program based in Cedar Ridge, CA. Brian Earl Warrensford practices in Grass Valley, CA. The NPI Number for Brian Earl Warrensford is 1972112415 and holds a License No. AMFT130106 (California).

The current practice location address for Brian Earl Warrensford is 170 E Main St Ste 210, Grass Valley, CA and can be reached out via phone at 530-559-4509.

Location: 170 E Main St Ste 210, Grass Valley, CA, 95924-0786
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972112415
Provider Name
Brian Earl Warrensford
Credential
Provider Entity Type
Individual
Gender
Male
Address
170 E Main St Ste 210, Grass Valley, CA, 95924-0786
Phone Number
530-559-4509
Fax Number
Provider Enumeration Date
07/30/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
170 E Main St Ste 210
City
Grass Valley
State
California
Zip
95945-6542
Phone Number
530-559-4509
Fax Number
person
Provider Business Mailing Address Details
Address
170 E Main St Ste 210
City
Grass Valley
State
California
Zip
95945-6542
Phone Number
530-559-4509
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
AMFT130106 (California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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