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Individual
BRYCE WAITE
Active
Individual
BRYCE WAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MC, LPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LAC-22282
AZ
101Y00000X
Counselor
Primary
LPC-24656
AZ
Other
Enumeration date
08/24/2023
Last updated
03/26/2026
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