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:
Health care specialties
Specialty | Code | License # | 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 6 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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