Individual
MR. BRYAN N/A WHITE I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2331 CANAL ST, NEW ORLEANS, LA 70119
(504) 304-3737
Mailing address
126 GOLDSMITH ST, JEFFERSON, LA 70121-4014
(504) 669-5306
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
LA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/13/2018
Last updated
06/01/2018
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