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Provider Information for 1659769479


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Mr. DARIAN MICHAEL BRINTON


Sex: Male

NPI: 1659769479
Last Updated: 2022-12-29
Certification Date: 2022-12-29

Details

NameValue
NPI1659769479
Enumeration Date2014-12-31
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 1620 MARKET ST
REDDING, CA 96001-1021
United States

Phone: | Fax:
 
Primary Practice Address 1620 MARKET ST
REDDING, CA 96001-1021
United States

Phone: 530-225-5200 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 171M00000X - Case Manager/Care Coordinator
Yes 106H00000X - Marriage & Family Therapist CA124657