Provider Demographics
NPI:1134663420
Name:BRIGMAN, TONY (CADC-CAS)
Entity Type:Individual
Prefix:
First Name:TONY
Middle Name:
Last Name:BRIGMAN
Suffix:
Gender:M
Credentials:CADC-CAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2110 FERRY ST
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:CA
Mailing Address - Zip Code:96007-3459
Mailing Address - Country:US
Mailing Address - Phone:530-365-8523
Mailing Address - Fax:
Practice Address - Street 1:2110 FERRY ST
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:CA
Practice Address - Zip Code:96007-3459
Practice Address - Country:US
Practice Address - Phone:530-365-8523
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-06
Last Update Date:2016-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAC18631214OtherCCAPP