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Brody Louis Dwyer
Mental Health Counselor in Truckee, California
NPI 1720862089

Brody Louis Dwyer is a Mental Health Counselor based in Truckee, CA and is specialized in Mental Health. Brody Louis Dwyer practices in Truckee, CA. The NPI Number for Brody Louis Dwyer is 1720862089 and holds a License No. MPSS-KQHMIJ (California).

The current practice location address for Brody Louis Dwyer is 10038 Meadow Way Unit D, Truckee, CA and can be reached out via phone at 530-536-6693.

Location: 10038 Meadow Way Unit D, Truckee, CA, 96161-4974
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720862089
Provider Name
Brody Louis Dwyer
Credential
Provider Entity Type
Individual
Gender
Male
Address
10038 Meadow Way Unit D, Truckee, CA, 96161-4974
Phone Number
530-536-6693
Fax Number
Provider Enumeration Date
08/18/2023
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
10038 Meadow Way Unit D
City
Truckee
State
California
Zip
96161-4974
Phone Number
530-536-6693
Fax Number
person
Provider Business Mailing Address Details
Address
10038 Meadow Way Unit D
City
Truckee
State
California
Zip
96161-4974
Phone Number
530-536-6693
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
MPSS-KQHMIJ (California)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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