Individual
LAVERNE NICHOLE BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 VILLAGE AVE, STE 204, YORKTOWN, VA 23693-5657
(757) 568-5904
Mailing address
501 VILLAGE AVE STE 204, YORKTOWN, VA 23693-5657
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0704016056
VA
101YP2500X
Professional Counselor
Primary
0704016056
VA
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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