Individual
JEREMY BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3550 OLD MILTON PKWY, ALPHARETTA, GA 30005-4464
(770) 674-0543
Mailing address
4700 SPRINGS LN APT F, NORCROSS, GA 30092-4032
(205) 568-0984
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/11/2022
Last updated
05/11/2022
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