Individual
JESSIE BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3575 KEITH ST NW, CLEVELAND, TN 37312-4324
(833) 979-0356
Mailing address
3575 KEITH ST NW, CLEVELAND, TN 37312-4324
(833) 979-0356
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/28/2021
Last updated
08/27/2025
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