Individual
MS. ANITA MICHELLE BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS, CADC
Contact information
Practice address
10520 LIGON MILL RD STE 100A, WAKE FOREST, NC 27587-4586
(919) 330-3840
Mailing address
3950 GLEN VERDE TRL APT 302, RALEIGH, NC 27613-4250
(919) 330-3840
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
10/30/2014
Last updated
07/02/2021
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