Individual
TELEACE BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., LMHP
Contact information
Practice address
212 ASHRIDGE LN, NEWPORT NEWS, VA 23602-8303
(804) 852-5423
Mailing address
212 ASHRIDGE LN, NEWPORT NEWS, VA 23602-8303
(804) 852-5423
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701014286
VA
101YM0800X
Mental Health Counselor
Primary
0704014383
VA
Other
Enumeration date
01/16/2024
Last updated
04/07/2026
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