Individual
ALLISON BETH BRYAN-CORTEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, DP-C
Contact information
Practice address
125 E SOUTHERN AVE, MUSKEGON, MI 49442-5041
(231) 726-3582
Mailing address
PO BOX 1847, MUSKEGON, MI 49443-1847
(231) 672-2119
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6801092650
MI
1041C0700X
Clinical Social Worker
Primary
6801092650
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558748905
—
MI
01
—
C-03555
CAACD
MI
Enumeration date
05/05/2015
Last updated
03/31/2021
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