Wisdom, Bryan R

Wisdom, Bryan R is an individual health care provider with primary practice located at 233 Fulton St E Ste 28 , Grand Rapids MI 49503-3262. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Wisdom, Bryan R can be contacted via phone (616) 228-9244.

Contact Information

Primary practice address
233 Fulton St E Ste 28 Grand Rapids MI 49503-3262
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 4151001031 Michigan

Profile Details

NPI number 1083377980
LBN Legal business name Wisdom, Bryan R
Credentials LLMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2021
Last updated Oct 18th, 2021 - about 4 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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