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Khayre Kellee Bryant-King, ASW

Social Worker in Roseville, CA. Individual provider (NPI-1).

NPI number1982201034
StatusActive
Last updated in NPPESJun 5, 2024

Details

NPI
1982201034
Entity type
Individual (NPI-1)
Name
Mr. Khayre Kellee Bryant-King
Credential
ASW
Sex
Male
Sole proprietor
No
Enumeration date
Oct 1, 2020
Certification date
Jun 3, 2024
Last updated
Jun 5, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker100876CAYes
101YA0400X Counselor, Addiction (Substance Use Disorder)––

Practice location

406 Sunrise Ave Ste 100
Roseville, CA 95661-4106

Phone 916-782-3737

Mailing address

406 Sunrise Ave Ste 100
Roseville, CA 95661-4106

Phone 510-478-6008

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