Individual
ANGELINA BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
109 JONES AVE, DRACUT, MA 01826-1503
(978) 559-9580
Mailing address
36 BENTON RD, HOOKSETT, NH 03106-1837
(978) 559-9580
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMHC10004826
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LMHC10004826
LMHCLICENSE
MA
Enumeration date
09/13/2022
Last updated
10/06/2025
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