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Individual
BRYAN CHAN
Active
Individual
BRYAN CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
IMF89959
CA
101YP2500X
Professional Counselor
PCCI2509
CA
106H00000X
Marriage & Family Therapist
Primary
122240
CA
Other
Enumeration date
07/28/2016
Last updated
10/02/2020
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