person
Bryan Balch, EXECUTIVEDIRECTOR
Addiction (Substance Use Disorder) Counselor in Fairfield, California
NPI 1891418471

Bryan Balch is an Addiction (Substance Use Disorder) Counselor based in Fairfield, CA and is specialized in Addiction (Substance Use Disorder). Bryan Balch practices in Fairfield, CA and has the professional credentials of EXECUTIVEDIRECTOR. The NPI Number for Bryan Balch is 1891418471 and holds a License No. 11200 (California).

The current practice location address for Bryan Balch is 623 Great Jones St, Fairfield, CA and can be reached out via phone at 707-664-7798.

Location: 623 Great Jones St, Fairfield, CA, 94533-6005
person
Provider Profile Details
NPI Number
1891418471
Provider Name
Bryan Balch
Credential
EXECUTIVEDIRECTOR
Provider Entity Type
Individual
Gender
Male
Address
623 Great Jones St, Fairfield, CA, 94533-6005
Phone Number
707-664-7798
Fax Number
Provider Enumeration Date
09/20/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
623 Great Jones St
City
State
Zip
94533-6005
Phone Number
707-664-7798
Fax Number
person
Provider Business Mailing Address Details
Address
623 Great Jones St
City
State
Zip
94533-6005
Phone Number
707-664-7798
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
11200 (California)
Definition
Definition to come...
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