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Individual

BRYAN E LINDBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMFT

Contact information

Practice address
223 S MAIN ST, GALAX, VA 24333-3911
(276) 233-6368
Mailing address
223 S MAIN ST, GALAX, VA 24333-3911
(276) 233-6368

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0717001080
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004945298
VA
01
176486
ANTHEM BLUE CROSS
VA
Enumeration date
08/16/2006
Last updated
11/17/2022
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