Individual
MR. BRYAN JOHN PRINZIVALLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
17 CRESTVIEW DR, RUSTBURG, VA 24588-4033
(434) 878-0067
Mailing address
17 CRESTVIEW DR, RUSTBURG, VA 24588-4033
(434) 878-0067
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701005780
VA
Other
Enumeration date
10/22/2014
Last updated
10/22/2014
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