Individual
BRYAN SANG HYUK NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
500 12TH ST STE 110, OAKLAND, CA 94607-4005
(612) 501-6299
Mailing address
PO BOX 19961, PORTLAND, OR 97280-0961
(612) 501-6299
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Y835265289516
—
103TC0700X
Clinical Psychologist
Primary
28848
CA
Other
Enumeration date
07/25/2012
Last updated
07/31/2024
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