Individual
BARRY VISSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
755 REDWOOD HEIGHTS RD, APTOS, CA 95003-9587
(831) 684-2130
Mailing address
755 REDWOOD HEIGHTS RD, APTOS, CA 95003-9587
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
G-028812
CA
Other
Enumeration date
09/26/2013
Last updated
09/26/2013
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