Individual
BENGIE BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4520 HOLLAND OFFICE PARK, SUITE 418, VIRGINIA BEACH, VA 23452-1145
(757) 333-6580
(757) 333-6590
Mailing address
951 OWLS CREEK LN, VIRGINIA BEACH, VA 23451-5839
(757) 289-4529
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0710102236
VA
Other
Enumeration date
05/18/2015
Last updated
05/18/2015
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