Individual
ELECHIA BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2115 NW 117TH ST, OKLAHOMA CITY, OK 73120-7803
(405) 684-4003
Mailing address
2115 NW 117TH ST, OKLAHOMA CITY, OK 73120-7803
(405) 684-4003
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E082537500
OK
Other
Enumeration date
01/16/2014
Last updated
01/16/2014
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