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Robert Bryant Jr.

Counselor, Mental Health in Lake Elsinore, CA. Individual provider (NPI-1).

NPI number1053862011
StatusActive
Last updated in NPPESOct 14, 2016

Details

NPI
1053862011
Entity type
Individual (NPI-1)
Name
Mr. Robert Bryant Jr.
Sex
Male
Sole proprietor
No
Enumeration date
Oct 14, 2016
Last updated
Oct 14, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Practice location

600 Central Ave Ste E1
Lake Elsinore, CA 92530-2740

Phone 951-471-1426 · Fax 951-471-1453

Mailing address

600 Central Ave Ste E1
Lake Elsinore, CA 92530-2740

Phone 951-471-1426 · Fax 951-471-1453

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