Healthcare Provider Details

I. General information

NPI: 1669628830
Provider Name (Legal Business Name): BRIAN KENT TREMAIN M.A.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2008
Last Update Date: 09/24/2025
Certification Date: 09/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1980 ORANGE TREE LN STE 240
REDLANDS CA
92374-4559
US

IV. Provider business mailing address

1980 ORANGE TREE LN STE 240
REDLANDS CA
92374-4559
US

V. Phone/Fax

Practice location:
  • Phone: 909-890-9022
  • Fax: 909-890-3672
Mailing address:
  • Phone: 909-890-9022
  • Fax: 909-890-3672

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: