Individual
BRYANT ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2 HEMPSTEAD PL, COLUMBIA, SC 29229-7762
(716) 525-5997
Mailing address
2 HEMPSTEAD PL, COLUMBIA, SC 29229-7762
(716) 525-5997
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34
—
SC
Enumeration date
06/08/2020
Last updated
06/08/2020
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