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Bryan Edward Farley

Counselor, Mental Health in Santa Rosa, CA. Individual provider (NPI-1).

NPI number1760614770
StatusActive
Last updated in NPPESAug 10, 2009

Details

NPI
1760614770
Entity type
Individual (NPI-1)
Name
Bryan Edward Farley
Sex
Male
Sole proprietor
No
Enumeration date
Aug 10, 2009
Last updated
Aug 10, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Practice location

3164 Condo Ct
Santa Rosa, CA 95403-2557

Phone 707-523-2334 · Fax 707-360-1540

Mailing address

341 Irwin Ln
Santa Rosa, CA 95401-5603

Phone 707-576-7218 · Fax 707-360-1540

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