Individual
ANGEL BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6631 WAKEFIELD DR, 714, ALEXANDRIA, VA 22307-6877
(678) 663-5645
Mailing address
6631 WAKEFIELD DR, 714, ALEXANDRIA, VA 22307-6877
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC006343
GA
101YM0800X
Mental Health Counselor
LPC006343
GA
101YP2500X
Professional Counselor
Primary
LPC006343
GA
102L00000X
Psychoanalyst
LPC006343
GA
102L00000X
Psychoanalyst
—
—
103K00000X
Behavior Analyst
LPC006343
GA
104100000X
Social Worker
LPC006343
GA
106H00000X
Marriage & Family Therapist
LPC006343
GA
Other
Enumeration date
06/12/2014
Last updated
06/12/2014
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