Individual
CARLY BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
PO BOX 816, WILDER, VT 05088-0816
(802) 728-4466
(802) 728-4197
Mailing address
PO BOX G, RANDOLPH, VT 05060-0167
(802) 728-4466
(802) 728-4197
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
151.0134230
VT
101YM0800X
Mental Health Counselor
068.0137111
VT
Other
Enumeration date
04/18/2025
Last updated
03/17/2026
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