Ann Brysiak, QMHA

Individual provider Active NPI Rehabilitation Counselor · Minden, NV

NPI 1104260041 · NPPES record last updated Apr 22, 2013

Key facts

NPI
1104260041
Entity type
Individual (NPI type 1)
Primary specialty
Rehabilitation Counselor 225C00000X
Practice address
2560 Business Pkwy Ste B
Minden, NV 89423-8961
Phone
(775) 392-2611
Fax
(775) 392-2433
NPI assigned
Apr 22, 2013
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Counselor 225C00000X Yes

Addresses

Primary practice location

2560 Business Pkwy Ste B
Minden, NV 89423-8961

Mailing address

2560 Business Pkwy Ste B
Minden, NV 89423-8961
Phone (775) 392-2611

Other identifiers

IdentifierTypeStateIssuer
1265721328MedicaidNV

Other providers in Minden, NV

All providers in Minden, NV · Rehabilitation Counselor in Nevada

Sources for this page

Verify at the official NPI Registry.