Individual
BRYCE EZRRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3545 LONG BEACH BLVD, LONG BEACH, CA 90807-3941
(310) 390-6612
Mailing address
3545 LONG BEACH BLVD, LONG BEACH, CA 90807-3941
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
116717
CA
1041C0700X
Clinical Social Worker
Primary
116717
CA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/12/2023
Last updated
12/04/2023
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