Healthcare Provider Details

I. General information

NPI: 1851230304
Provider Name (Legal Business Name): BRENEE SAYSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BRENEE DEARMIN

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

820 E GILBERT ST
SAN BERNARDINO CA
92415-1003
US

IV. Provider business mailing address

820 E GILBERT ST
SAN BERNARDINO CA
92415-1003
US

V. Phone/Fax

Practice location:
  • Phone: 909-358-1467
  • Fax:
Mailing address:
  • Phone: 909-358-1467
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCI48390825
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: