Individual
MICHAEL A. O'BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
235 HANOVER ST, MANCHESTER, NH 03104-6115
(603) 622-3020
Mailing address
PO BOX 6597, PENACOOK, NH 03303-6597
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
620
NH
Other
Enumeration date
10/30/2007
Last updated
10/30/2007
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