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NPI Code Detail

MEDICARE: BRICE GERVAIS DJOKO SIEYAPDJI

MEDICARE: BRICE GERVAIS DJOKO SIEYAPDJI
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1669331526
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRICE GERVAIS DJOKO SIEYAPDJI
Provider Business Mailing Address
First Line : 3756 WYNN RD APT 212
Second Line :
City : LAS VEGAS
State : NV
Zip : 89103-2812
Country : US
Telephone Number : 702-640-8349
Fax Number :
Provider Business Practice Location Address
First Line : 3756 WYNN RD APT 212
Second Line :
City : LAS VEGAS
State : NV
Zip : 89103-2812
Country : US
Telephone Number : 702-640-8349
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2026
Last Update Date : 01/16/2026

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Directions to “ BRICE GERVAIS DJOKO SIEYAPDJI ” Practice Location

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