Individual
MRS. CLARISSA FAYE BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
209 W BROADWAY ST, OKEMAH, OK 74859-2618
(918) 623-2922
Mailing address
RR 3 BOX 116C, OKEMAH, OK 74859-9449
(918) 623-2455
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
NONE
—
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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