Individual
KRISTA MARIE BRYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3995 MARCOLA RD., SPRINGFIELD, OR 97477
(541) 726-1465
Mailing address
3995 MARCOLA RD., SPRINGFIELD, OR 97477
(541) 726-1465
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C6302
OR
Other
Enumeration date
08/31/2016
Last updated
08/31/2021
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