Individual
MRS. THERESA JOHNSON BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A./LPC
Contact information
Practice address
2603 W WACKERLY ST, SUITE, A, MIDLAND, MI 48640-6903
(989) 631-2320
(989) 631-9903
Mailing address
3840 N THOMAS RD, FREELAND, MI 48623-8816
(989) 781-0471
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401006769
MI
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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