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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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