Individual
MR. BRYN EVAN MARCUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
3900 BROADWAY STE B1, FORT MYERS, FL 33901-8193
(239) 939-2808
(239) 939-4794
Mailing address
5221 SW 8TH PL, CAPE CORAL, FL 33914-7012
(941) 504-9759
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH8583
FL
Other
Enumeration date
02/12/2007
Last updated
07/09/2007
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