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Individual

BRYCE WAITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MC, LPC

Contact information

Practice address
4360 E BROWN RD STE 102, MESA, AZ 85205-4084
(480) 420-7596
Mailing address
4360 E BROWN RD STE 102, MESA, AZ 85205-4084

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LAC-22282
AZ
101Y00000X
Counselor
Primary
LPC-24656
AZ

Other

Enumeration date
08/24/2023
Last updated
03/26/2026
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