MEDICARE: BRYAN JOHN HULS LMFT, CEAP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	MFC31129	CA

General Provider Information

NPI Number	:	1023253010
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRYAN JOHN HULS LMFT, CEAP

Provider Business Mailing Address
First Line	:	9602 MONTEMAR DR
Second Line	:
City	:	SPRING VALLEY
State	:	CA
Zip	:	91977-3425
Country	:	US
Telephone Number	:	619-644-1789
Fax Number	:

Provider Business Practice Location Address
First Line	:	8318 UNIVERSITY AVE
Second Line	:	SUITE A
City	:	LA MESA
State	:	CA
Zip	:	91941-3865
Country	:	US
Telephone Number	:	619-739-4718
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/05/2008
Last Update Date	:	03/08/2026

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