Provider Demographics
NPI:1710403084
Name:ARJON, BRYAN A
Entity Type:Individual
Prefix:MR
First Name:BRYAN
Middle Name:A
Last Name:ARJON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4338 HAYES TOWER RD
Mailing Address - Street 2:
Mailing Address - City:GAYLORD
Mailing Address - State:MI
Mailing Address - Zip Code:49735-8885
Mailing Address - Country:US
Mailing Address - Phone:719-551-8053
Mailing Address - Fax:
Practice Address - Street 1:(MTC) MICHIGAN THERAPEUTIC CONSULTANTS
Practice Address - Street 2:711 S ILLINOIS AVE
Practice Address - City:GAYLORD
Practice Address - State:MI
Practice Address - Zip Code:49735-1763
Practice Address - Country:US
Practice Address - Phone:989-732-4357
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-18
Last Update Date:2017-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)