Individual
MRS. BONNIE LYNNE BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
125 WELLNESS WAY, HOT SPRINGS, AR 71913
(501) 624-7111
(501) 620-5109
Mailing address
125 WELLNESS WAY, HOT SPRINGS, AR 71913-6478
(501) 620-5231
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P1510113
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
212756795
—
AR
Enumeration date
06/22/2011
Last updated
06/12/2018
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