Individual
SANDRA BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9231 W FLORISSANT AVE, SAINT LOUIS, MO 63136-1422
(314) 279-4444
Mailing address
9231 W FLORISSANT AVE, SAINT LOUIS, MO 63136-1422
(314) 279-1444
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
7396
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7396
—
MO
Enumeration date
10/28/2022
Last updated
10/28/2022
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