Individual
EDWIN LEON BRYANT II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA,BS
Contact information
Practice address
4030 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5207
(405) 528-4673
Mailing address
PO BOX 343, LANGSTON, OK 73050-0343
(281) 777-8897
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/04/2010
Last updated
08/04/2010
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