Individual
AMBER MARIE BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5250 RALSTON ST, VENTURA, CA 93003-7318
(310) 714-2557
Mailing address
5250 RALSTON ST, VENTURA, CA 93003-7318
(310) 714-2557
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
Primary
58.016482
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0009925102
LICENSED SOCIAL WORKER
CO
01
—
9134
LICENSED MASTER SOCIAL WORKER
CT
01
—
ASW118914
ASSOCIATE CLINICAL SOCIAL WORKER
CA
Enumeration date
04/05/2023
Last updated
03/14/2026
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