Individual
BRYAN MATHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1865 9TH ST, SANTA MONICA, CA 90404-4501
(502) 678-9538
Mailing address
1865 9TH ST, SANTA MONICA, CA 90404-4501
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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