Individual
MARY BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
354 WOODHAVEN LN, WETUMPKA, AL 36093-2959
(334) 318-2396
Mailing address
354 WOODHAVEN LN, WETUMPKA, AL 36093-2959
(334) 318-2396
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
ALC05837
AL
101YM0800X
Mental Health Counselor
ALC05837
AL
Other
Enumeration date
06/01/2026
Last updated
06/01/2026
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