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Individual

MRS. HALEY BRYANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC, LAMFT

Contact information

Practice address
1403 HIDDEN VALLEY ST, VAN BUREN, AR 72956-2125
(479) 414-3865
(479) 777-8510
Mailing address
927 MAIN ST STE B, VAN BUREN, AR 72956-4300
(479) 414-3865
(479) 777-8510

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A1302009
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
177755526
AR
Enumeration date
02/05/2013
Last updated
12/14/2016
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