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Individual

PATRICIA O'BRYANT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPCC, LADC

Contact information

Practice address
3217 HENNEPIN AVE STE 3, MINNEAPOLIS, MN 55408-4695
(612) 812-8429
Mailing address
515 E SLAUGHTER LN APT 3213, AUSTIN, TX 78744-0074
(314) 494-3955

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
303850
MN
101YM0800X
Mental Health Counselor
Primary
CC02360
MN
101YP2500X
Professional Counselor
01618
MN

Other

Enumeration date
12/27/2017
Last updated
04/15/2020
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