Individual
BRYAN ROBERT PAVEGLIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8801 FOLSOM BLVD, SUITE 210, SACRAMENTO, CA 95826-3257
(916) 338-6400
Mailing address
2416 G ST, #C, SACRAMENTO, CA 95816-3635
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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