Individual
MR. DANIEL J BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSED, LPC
Contact information
Practice address
675 MAIN ST, MIDDLETOWN, CT 06457
(860) 543-5544
Mailing address
211 POMEROY AVE, APT 1312, MERIDEN, CT 06450-7165
(860) 543-5544
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
002084
CT
101YP2500X
Professional Counselor
Primary
002084
CT
Other
Enumeration date
09/08/2009
Last updated
10/29/2014
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