Individual
JERRY BRIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
720 14TH AVE, LONGVIEW, WA 98632-2315
(360) 423-0203
(360) 423-5086
Mailing address
PO BOX 1847, LONGVIEW, WA 98632-8140
(360) 423-0203
(360) 577-0187
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG61510750
WA
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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