Individual
MR. BRYAN HENNESSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
405 W 5TH ST, SANTA ANA, CA 92701-4519
(714) 834-4707
Mailing address
2114 NATIONAL AVE, COSTA MESA, CA 92627-3386
(949) 878-7986
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/07/2008
Last updated
01/07/2008
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