Individual
MRS. MICHELLE BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RASAC1
Contact information
Practice address
1639 BRUCE SMITH PKWY, WEST PLAINS, MO 65775-7691
(417) 257-1833
(417) 256-0488
Mailing address
1639 BRUCE SMITH PKWY, WEST PLAINS, MO 65775-7691
(417) 257-1833
(417) 256-0488
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
9568
MO
Other
Enumeration date
01/11/2017
Last updated
01/11/2017
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