Provider Demographics
NPI:1336344597
Name:DRYER, GUY HILTON (CAS)
Entity Type:Individual
Prefix:
First Name:GUY
Middle Name:HILTON
Last Name:DRYER
Suffix:
Gender:M
Credentials:CAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 MASON CIR
Mailing Address - Street 2:STE M
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94520-8542
Mailing Address - Country:US
Mailing Address - Phone:925-825-7049
Mailing Address - Fax:925-825-4305
Practice Address - Street 1:135 MASON CIR
Practice Address - Street 2:STE M
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94520-8542
Practice Address - Country:US
Practice Address - Phone:925-825-7049
Practice Address - Fax:925-825-4305
Is Sole Proprietor?:No
Enumeration Date:2007-06-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA02-907260101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional