Individual
AARON BRUCE BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSW, LSUDC
Contact information
Practice address
450 S 900 E, SUITE 300, SALT LAKE CITY, UT 84102-2981
(801) 532-1850
Mailing address
PO BOX 65232, SALT LAKE CITY, UT 84165-0232
(801) 979-6995
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
7099669-6005
UT
104100000X
Social Worker
Primary
7099669-3503
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
828282
—
UT
Enumeration date
11/01/2010
Last updated
01/04/2013
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