MISS Bryanna Jo Squibb, HM60795744
NPI #1124664784 in Centralia, Washington
Provider Information
- NPI Number
- 1124664784
- Entity Type
- Individual
- Name
- MISS Bryanna Jo Squibb, HM60795744
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Credential
- HM60795744
- Enumeration Date
- Nov 19, 2019
- Last Updated
- Nov 19, 2019
Practice Location
- Address
- 3510 STEELHAMMER DR
- City
- Centralia
- State
- Washington
- ZIP Code
- 98531-4551
- Phone
- (360) 623-8020
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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