Provider Demographics
NPI:1336205046
Name:BRINK, AARON LOWELL
Entity type:Individual
Prefix:MR
First Name:AARON
Middle Name:LOWELL
Last Name:BRINK
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:650 TAMARACK AVE.,
Mailing Address - Street 2:#4805
Mailing Address - City:BREA
Mailing Address - State:CA
Mailing Address - Zip Code:92821
Mailing Address - Country:US
Mailing Address - Phone:714-966-9999
Mailing Address - Fax:714-966-9996
Practice Address - Street 1:650 TAMARACK AVE
Practice Address - Street 2:#4805
Practice Address - City:BREA
Practice Address - State:CA
Practice Address - Zip Code:92821-3202
Practice Address - Country:US
Practice Address - Phone:714-966-9999
Practice Address - Fax:714-966-9996
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health