Individual
CAROLINE SUZANNE BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APCC, AMFT
Contact information
Practice address
1 QUALITY DR, VACAVILLE, CA 95688-9494
(707) 624-2830
(707) 624-2831
Mailing address
77 SOLANO SQ # 240, BENICIA, CA 94510-2712
(707) 567-8007
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
AMFT116914
CA
101YM0800X
Mental Health Counselor
APCC7925
CA
Other
Enumeration date
07/28/2021
Last updated
07/28/2021
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