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Individual

MR. BRYAN DAVID LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.A.

Contact information

Practice address
5510 RIVER RD, NEW PORT RICHEY, FL 34652-3710
(727) 841-7121
Mailing address
5510 RIVER RD, NEW PORT RICHEY, FL 34652-3710
(727) 841-7121

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
MH7947
FL
101YA0400X
Addiction (Substance Use Disorder) Counselor
MH7947
FL
101YM0800X
Mental Health Counselor
MH7947
FL
101YP2500X
Professional Counselor
Primary
MH7947
FL

Other

Enumeration date
09/30/2010
Last updated
09/28/2020
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