Individual
MR. BRYAN EDWARD HUDSON SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CBEST,CSET
Contact information
Practice address
2080 S E ST, SAN BERNARDINO, CA 92408-2773
(909) 388-9191
Mailing address
2080 S E ST, SAN BERNARDINO, CA 92408-2773
(909) 388-9191
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
CA
101YM0800X
Mental Health Counselor
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124100383
—
CA
Enumeration date
02/25/2015
Last updated
10/26/2015
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