Individual
BRYCE LUMBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2100 5TH STREET, DAVIS, CA 95618
(530) 747-3400
Mailing address
2100 5TH STREET, DAVIS, CA 95618
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/24/2013
Last updated
05/24/2013
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