Organization
WILMA L. BRYANT PSYCHOTHERAPY LTD
Active
Other names
Wilma L Bryant LCSW
Organization subpart
No
Provider details
NPI number
Authorized official
WILMA L. BRYANT LCSW (PSYCHOTHERAPY)
(217) 637-7815
Entity
Organization
Contact information
Practice address
100 N CHESTNUT ST STE 229, CHAMPAIGN, IL 61820-4856
(217) 637-7815
(844) 693-1411
Mailing address
2807 WOODHAVEN DR, CHAMPAIGN, IL 61822-7573
(217) 637-7715
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
149005877
IL
Other
Enumeration date
06/29/2018
Last updated
12/06/2024
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