Organization · NPI-2

Bryans Counseling Service

Community/Behavioral Health · Santa Fe, NM

NPI number1649579780
StatusActive
Last updated in NPPESMar 15, 2011

Details

NPI
1649579780
Entity type
Organization (NPI-2)
Legal business name
Bryans Counseling Service
Organization subpart
No
Enumeration date
Mar 15, 2011
Last updated
Mar 15, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral HealthI-06160NMYes

Other names

  • John Bryan Stuppy (Doing Business As)

Practice location

2891 Clark Ct
Santa Fe, NM 87507-5179

Phone 505-930-4550

Mailing address

2891 Clark Ct
Santa Fe, NM 87507-5179

Phone 505-930-4550

Authorized official

John Bryan Stuppy
Clinical Social Worke
5059304550

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