Individual
VICKIE LYNN BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDPT
Contact information
Practice address
1321 N ASH ST, SPOKANE, WA 99201-2803
(509) 327-3120
Mailing address
1211 E 12TH AVE, SPOKANE, WA 99202-2515
(509) 270-7732
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
60653450
WA
Other
Enumeration date
11/03/2016
Last updated
09/26/2018
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