Individual
BRYANNA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LMHC
Contact information
Practice address
2450 W RIDGE RD STE 304, ROCHESTER, NY 14626-3037
(585) 431-6533
Mailing address
2040 W RIDGE RD STE 304, ROCHESTER, NY 14626-2721
(585) 431-6533
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/16/2022
Last updated
12/05/2023
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