Individual
MR. BRYON M MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LPC
Contact information
Practice address
2850 JOHNSON FERRY RD STE 250, MARIETTA, GA 30062-8317
(678) 408-1581
(770) 558-4759
Mailing address
2850 JOHNSON FERRY RD STE 250, MARIETTA, GA 30062-8317
(678) 408-1581
(770) 558-4759
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2127
MN
101YM0800X
Mental Health Counselor
7263-125
WI
101YP2500X
Professional Counselor
Primary
LPC012271
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14236068
CAQH
—
Enumeration date
04/16/2018
Last updated
07/26/2021
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