Individual
SOUTHWORTH F BRYAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1661 OLD BIRMINGHAM HWY, SYLACAUGA, AL 35150-8334
(251) 450-2211
(251) 662-7297
Mailing address
5750A SOUTHLAND DR, MOBILE, AL 36693-3316
(251) 450-2211
(251) 662-7297
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2907
AL
101YP2500X
Professional Counselor
C1551A
AL
Other
Enumeration date
01/20/2009
Last updated
10/14/2016
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