Bryan Balch, EXECUTIVEDIRECTOR
Bryan Balch, EXECUTIVEDIRECTOR is an Addiction (Substance Use Disorder) Counselor in Fairfield, California. Licensed in California. Registered with an NPI since 2022.
- Licensed in
- CA
- In the registry since
- 2022
Practice location Address checks out
623 Great Jones StFairfield, CA 94533-6005
Phone: (707) 664-7798
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 11200 (CA) |
|---|
Record details
| NPI number | 1891418471 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | EXECUTIVEDIRECTOR |
| Sole proprietor | No |
| NPI enumerated | September 20, 2022 |
| Last updated in NPPES | September 20, 2022 |
| Certification date | September 20, 2022 |
| Mailing address | 623 Great Jones St, Fairfield, CA 94533-6005 |
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