Provider Demographics
NPI:1679339121
Name:STRINGHAM, DAVID BRIANT (CATC-I)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:BRIANT
Last Name:STRINGHAM
Suffix:
Gender:M
Credentials:CATC-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 CRISTIANITOS RD UNIT 14215
Mailing Address - Street 2:
Mailing Address - City:SAN CLEMENTE
Mailing Address - State:CA
Mailing Address - Zip Code:92673-6985
Mailing Address - Country:US
Mailing Address - Phone:661-972-7341
Mailing Address - Fax:
Practice Address - Street 1:31473 RANCHO VIEJO RD STE 103
Practice Address - Street 2:
Practice Address - City:SAN JUAN CAPISTRANO
Practice Address - State:CA
Practice Address - Zip Code:92675-1894
Practice Address - Country:US
Practice Address - Phone:661-972-7341
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-22
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2114741101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)