Individual
NICOLE BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EDD, LCSW
Contact information
Practice address
2650 MEMORIAL BLVD STE E, MURFREESBORO, TN 37129-5138
(615) 437-7191
Mailing address
2650 MEMORIAL BLVD STE E, MURFREESBORO, TN 37129-5138
(615) 437-7191
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
CA
1041C0700X
Clinical Social Worker
Primary
99592
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7707
LCSW
TN
01
—
99592
LCSW
CA
Enumeration date
09/01/2017
Last updated
03/06/2024
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