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Individual
BRYAN DEWITT
Active
Individual
BRYAN DEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRM
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-25-6031
OR
175T00000X
Peer Specialist
—
—
Other
Enumeration date
08/26/2024
Last updated
03/04/2026
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