Individual
ASHLEY NICOLE BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2632 SW PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34953-2845
(561) 855-0552
Mailing address
908 SW GWENDOLEN TER, PORT ST LUCIE, FL 34953-1523
(407) 515-0455
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/02/2018
Last updated
01/02/2018
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