Individual
MR. BRYAN CRISP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT, BCBA
Contact information
Practice address
620 LYNNDALE COURT, SUITE A, GREENVILLE, NC 27858-5436
(252) 413-8890
(252) 756-7533
Mailing address
620 LYNNDALE COURT, SUITE A, GREENVILLE, NC 27858-5436
(252) 413-8890
(252) 756-7533
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
1169
NC
106H00000X
Marriage & Family Therapist
Primary
1169
NC
Other
Enumeration date
04/03/2007
Last updated
01/19/2012
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