Individual
CHIQUITA BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3120 N. OAK STREET EXT, SUITE C, VALDOSTA, GA 31602-1007
(229) 671-6170
Mailing address
3120 N. OAK STREET EXT, SUITE C, VALDOSTA, GA 31602-1007
(229) 671-6170
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC 0009430
GA
Other
Enumeration date
02/14/2017
Last updated
02/14/2017
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