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Bryan Van Ravenhorst
Mental Health Counselor in Fresno, California
NPI 1609545284

Bryan Van Ravenhorst is a Mental Health Counselor based in Fresno, CA and is specialized in Mental Health. Bryan Van Ravenhorst practices in Fresno, CA. The NPI Number for Bryan Van Ravenhorst is 1609545284 and holds a License No. 105285 (California).

The current practice location address for Bryan Van Ravenhorst is 1141 W Shaw Ave Ste 203, Fresno, CA and can be reached out via phone at 559-428-3137.

Location: 1141 W Shaw Ave Ste 203, Fresno, CA, 93729-6813
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609545284
Provider Name
Bryan Van Ravenhorst
Credential
Provider Entity Type
Individual
Gender
Male
Address
1141 W Shaw Ave Ste 203, Fresno, CA, 93729-6813
Phone Number
559-428-3137
Fax Number
Provider Enumeration Date
09/08/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1141 W Shaw Ave Ste 203
City
Fresno
State
California
Zip
93711-3713
Phone Number
559-428-3137
Fax Number
person
Provider Business Mailing Address Details
Address
1141 W Shaw Ave Ste 203
City
Fresno
State
California
Zip
93711-3713
Phone Number
559-428-3137
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
105285 (California)
Definition
Definition to come...
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