Individual
BRYAN PHILLIP PATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
6400 ARLINGTON BLVD STE 920, FALLS CHURCH, VA 22042-2336
(703) 241-2664
(703) 241-5559
Mailing address
6400 ARLINGTON BLVD STE 920, FALLS CHURCH, VA 22042-2336
(703) 241-2664
(703) 241-5559
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0704017054
VA
101YP2500X
Professional Counselor
LGP15528
MD
Other
Enumeration date
06/20/2024
Last updated
09/03/2024
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