Individual
ASHLEY RENAE BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., LPC
Contact information
Practice address
3801 NW 63RD ST STE 137, OKLAHOMA CITY, OK 73116-1921
(405) 370-4594
(405) 421-9530
Mailing address
3801 NW 63RD ST STE 137, OKLAHOMA CITY, OK 73116-1921
(405) 370-4594
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200346790C
—
OK
Enumeration date
10/18/2010
Last updated
12/16/2019
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