Bryan De Valle
Bryan De Valle is a Professional Counselor in Medford, Oregon. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
221 W Main St Ste 300Medford, OR 97501-2728
Phone: (541) 821-9559
Fax: (541) 702-1236
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Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X |
|---|
Record details
| NPI number | 1265009898 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 10, 2021 |
| Last updated in NPPES | June 10, 2021 |
| Certification date | June 10, 2021 |
| Mailing address | Po Box 36, Medford, OR 97501-0003 |
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