Individual
MS. DESIREE TERRY BRYAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1950 ALAMEDA DE LAS PULGAS, SAN MATEO, CA 94403-1222
(650) 573-3571
(650) 572-9347
Mailing address
1950 ALAMEDA DE LAS PULGAS, SAN MATEO, CA 94403-1222
(650) 573-3571
(650) 572-9347
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
13860033876
CA
172V00000X
Community Health Worker
57216
CA
175T00000X
Peer Specialist
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57216
COMMUNITY WORKER
CA
Enumeration date
01/21/2015
Last updated
09/27/2023
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