Individual
MR. BARRY JON BRIGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LLP, LPC
Contact information
Practice address
1090 N 10TH ST, SUITE 110, KALAMAZOO, MI 49009-5733
(269) 375-4363
(269) 375-4362
Mailing address
1090 N 10TH ST, SUITE 110, KALAMAZOO, MI 49009-5733
(269) 375-4363
(269) 375-4362
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401005766
MI
103TC2200X
Clinical Child & Adolescent Psychologist
6301008843
MI
Other
Enumeration date
08/05/2006
Last updated
05/08/2015
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