Individual
MR. STANLEY ROBERT BRYANT III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, LCADC
Contact information
Practice address
234 AMY AVE, LOUISVILLE, KY 40212-2522
(502) 778-0001
Mailing address
234 AMY AVE, LOUISVILLE, KY 40212-2522
(502) 778-0001
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
272984
KY
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
259185
KY
1041C0700X
Clinical Social Worker
34011370A
IN
Other
Enumeration date
03/24/2017
Last updated
09/16/2024
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