Individual
MR. BRYANT MITCHELL KEITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT; SB-LMFT
Contact information
Practice address
222 MCKEE ST, MANCHESTER, CT 06040-4800
(203) 980-6089
Mailing address
222 MCKEE ST, MANCHESTER, CT 06040-4800
(203) 980-6089
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2425
CT
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
12/08/2020
Last updated
04/10/2022
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