Individual
BRYAN D JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
695 S STATE ST, ELGIN, IL 60123-7673
(630) 995-2082
Mailing address
695 S STATE ST, ELGIN, IL 60123-7673
(630) 995-2082
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
362472748
—
IL
Enumeration date
02/20/2023
Last updated
02/20/2023
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