Individual
BRYAN LA SANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1483 ALVA ST, CARPINTERIA, CA 93013-1501
(805) 566-0299
Mailing address
PO BOX 296, OAK VIEW, CA 93022-0296
(806) 746-1807
(805) 566-0298
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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