Individual
DEIDRE BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CSAC
Contact information
Practice address
706 W BROOKLAND PARK BLVD, RICHMOND, VA 23222-2515
(540) 455-2191
Mailing address
706 W BROOKLAND PARK BLVD, RICHMOND, VA 23222-2515
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0710102172
VA
Other
Enumeration date
01/22/2011
Last updated
01/22/2011
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