Individual
AGATHA BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 DOUGLAS AVE STE 208, ALTAMONTE SPRINGS, FL 32714-5206
(407) 965-9027
Mailing address
2449 SILVER CHASE DR APT 2, ORLANDO, FL 32808-4369
(407) 965-9027
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/04/2014
Last updated
09/04/2014
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