Individual
MR. BRIAN JOSEPH BRYANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1024 RIDGE RD, ROCKWALL, TX 75087-4200
(214) 728-8735
Mailing address
1024 RIDGE RD, ROCKWALL, TX 75087-4200
(214) 728-8735
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
32818
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150065401
—
TX
Enumeration date
12/06/2008
Last updated
07/19/2012
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