Individual
BRAD BYRUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MFT
Contact information
Practice address
312 E 3RD AVE, LENNOX, SD 57039-2147
(650) 676-7575
Mailing address
312 E 3RD AVE, LENNOX, SD 57039-2147
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
118448
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000
I DON'T HAVE ANY SUCH NUMBERS
—
Enumeration date
03/14/2020
Last updated
03/14/2020
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