Individual
BRYANT A MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4368 LINCOLN AVE, OAKLAND, CA 94602-2529
(504) 274-5454
Mailing address
4368 LINCOLN AVE, OAKLAND, CA 94602-2529
(504) 274-5454
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/01/2010
Last updated
07/01/2010
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