Individual
MR. RICHARD JAMES BRYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.M.H.C.
Contact information
Practice address
567 N 2620 W, PROVO, UT 84601-1187
(801) 362-1705
Mailing address
567 N 2620 W, PROVO, UT 84601-1187
(801) 362-1705
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6904910-6004
UT
Other
Enumeration date
01/03/2014
Last updated
01/03/2014
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