Individual
MR. BRYCE ALLYN PARADIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LLC
Contact information
Practice address
1012 LOMBARD WAY, TUBAC, AZ 85646-8564
(424) 234-9591
Mailing address
PO BOX 5193, TUBAC, AZ 85646-5193
(424) 234-9591
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/15/2021
Last updated
03/15/2021
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