Individual
DR. ANGELIA SHAW BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCC CCMHC CHT LPCC-S
Contact information
Practice address
2976 HIGHWAY 910, SUITE B, RUSSELL SPRINGS, KY 42642-8963
(270) 866-4753
Mailing address
2976 HIGHWAY 910, RUSSELL SPRINGS, KY 42642-8963
(270) 566-1122
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103409
KY
101YP2500X
Professional Counselor
Primary
0031
KY
Other
Enumeration date
10/17/2011
Last updated
07/23/2021
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