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Individual
DR. DIANE HARDWICK BRYAN
Active
Individual
DR. DIANE HARDWICK BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPS, PH.D.
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
3432
NM
101YA0400X
Addiction (Substance Use Disorder) Counselor
7697
TX
101YM0800X
Mental Health Counselor
0039
NM
101YP2500X
Professional Counselor
Primary
62311
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14324059
—
NM
Enumeration date
08/09/2011
Last updated
10/16/2014
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