Individual
MR. BRYAN MCCORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC, LMHC
Contact information
Practice address
1801 AMERICAN BLVD E, BLOOMINGTON, MN 55425-1232
(612) 767-7222
Mailing address
1801 AMERICAN BLVD E, BLOOMINGTON, MN 55425-1232
(612) 767-7222
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH12321
FL
Other
Enumeration date
05/14/2015
Last updated
01/03/2022
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