Individual
BRYANT JAKE WILLIAMS IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1616 WEST ST, REDDING, CA 96001-1726
(530) 244-7074
(530) 244-7065
Mailing address
1237 CALIFORNIA ST, REDDING, CA 96001-0618
(530) 243-7470
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CI29270320
CA
Other
Enumeration date
04/13/2020
Last updated
04/13/2020
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