Mall, Bryan

Mall, Bryan is an individual health care provider with primary practice located at 224 Morgan St , Suisun City CA 94585-2845. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Mall, Bryan can be contacted via phone (925) 864-0623.

Contact Information

Primary practice address
224 Morgan St Suisun City CA 94585-2845
Phone: (925) 864-0623
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 85212 California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 102655 California

Profile Details

NPI number 1871903716
LBN Legal business name Mall, Bryan
Credentials M.A., LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2014
Last updated Mar 17th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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