BRYAN ANDRE MATHIS

SANTA ROSA, CA
NPI1831403286
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2010-07-27
Last Update Date2010-07-27
Business Address
-- BRYAN ANDRE MATHIS
429 SPEERS RD
SANTA ROSA, CA 95409-3123
Phone number: 707-571-2215
Mailing Address
-- BRYAN ANDRE MATHIS
PO BOX 2587
SANTA ROSA, CA 95405-0587
Phone number: 707-571-2215
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