Individual
ROBERT LEE BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA, MS, PHD
Contact information
Practice address
1037 FAYETTE DR, FORT WAYNE, IN 46816-3610
(260) 447-4970
Mailing address
1037 FAYETTE DR, FORT WAYNE, IN 46816-3610
(260) 447-4970
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39000382A
IN
Other
Enumeration date
09/21/2017
Last updated
07/21/2022
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