Organization
BRYAN LINDBERG
Active
Organization
BRYAN LINDBERG
Active
Other names
Marriage and Family Therapy Center
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN LINDBERG (PROVIDER/OWNER)
(276) 236-8888
Entity
Organization
Contact information
Practice address
223 S MAIN ST, GALAX, VA 24333-3911
(276) 236-8888
Mailing address
223 S MAIN ST, GALAX, VA 24333-3911
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
106H00000X
Marriage & Family Therapist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004945298
—
VA
Enumeration date
11/17/2022
Last updated
05/06/2024
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