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Individual
MR. BRYAN HOLT
Active
Individual
MR. BRYAN HOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LLPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401016193
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1588841787
TREESIDE
MI
Enumeration date
08/12/2017
Last updated
07/21/2022
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