Individual
BRYA HANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
493 E BAYLOR LN, GILBERT, AZ 85296-4152
(310) 529-0732
Mailing address
493 E BAYLOR LN, GILBERT, AZ 85296-4152
(310) 529-0732
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2020035071
MO
101YM0800X
Mental Health Counselor
Primary
LMFT119098
CA
101YM0800X
Mental Health Counselor
LMFT6579T
AZ
Other
Enumeration date
11/25/2020
Last updated
11/25/2020
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