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Individual
MR. BRYAN GIESE GARDNER
Active
Individual
MR. BRYAN GIESE GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT 116141
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
95675
CA
101YM0800X
Mental Health Counselor
95675
CA
106H00000X
Marriage & Family Therapist
Primary
116141
CA
106H00000X
Marriage & Family Therapist
95675
CA
Other
Enumeration date
07/26/2017
Last updated
07/28/2023
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