Individual
JEFFREY BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDCA/PRS
Contact information
Practice address
4977 NORTHCUTT PL, DAYTON, OH 45414-3839
(800) 829-5461
Mailing address
1267 DAYTON AVE NW, WASHINGTON COURT HOUSE, OH 43160-9573
(800) 829-5461
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.189694
OH
175T00000X
Peer Specialist
Primary
APS.003496
OH
Other
Enumeration date
10/14/2022
Last updated
01/13/2026
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