Individual
CHERYL LYNN BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
4715 LEEDS AVE, BALTIMORE, MD 21227-1402
(443) 791-7148
Mailing address
4715 LEEDS AVE, HALETHORPE, MD 21227-1402
(443) 791-7148
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
19593
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
781302300
—
MD
Enumeration date
11/16/2021
Last updated
10/07/2024
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