Individual
SARAH BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, LCDC, CSW
Contact information
Practice address
6813 US HIGHWAY 68 W, BENTON, KY 42025-6910
(520) 977-6232
Mailing address
6813 US HIGHWAY 68 W, BENTON, KY 42025-6910
(520) 977-6232
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
105188
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
11891
TX
1041C0700X
Clinical Social Worker
57741
TX
1041C0700X
Clinical Social Worker
Primary
7533
KY
1041C0700X
Clinical Social Worker
LMSW-13063
AZ
Other
Enumeration date
10/28/2015
Last updated
10/28/2015
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