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Individual

ERIC ANDREW BRYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMHC

Contact information

Practice address
9670 E WASHINGTON ST STE 120, INDIANAPOLIS, IN 46229-3051
(317) 865-6922
(317) 865-6930
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39002818A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300069008
IN
Enumeration date
04/04/2016
Last updated
01/09/2024
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