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Individual

MR. BRYAN UPTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2820 W CHARLESTON BLVD # C23, LAS VEGAS, NV 89102-1942
(702) 437-4673
Mailing address
517 INDIAN BLUFF ST UNIT 204, LAS VEGAS, NV 89145-4576
(702) 274-3580

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
04/30/2013
Last updated
04/30/2013
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