Individual
MARY K BRYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT LADC NCAC
Contact information
Practice address
205 S PRATT AVE, CARSON CITY, NV 89701-4730
(775) 882-3945
(775) 882-6126
Mailing address
2621 MEADOWBROOK LN, CARSON CITY, NV 89701-5750
(775) 882-3945
(775) 882-6126
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
510
NV
Other
Enumeration date
06/19/2007
Last updated
07/08/2007
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