Individual
ESTEFANIA BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2632 PENNSYLVANIA ST NE STE E, ALBUQUERQUE, NM 87110-3650
(505) 573-5407
Mailing address
26 MOCKINGBIRD DR, TIJERAS, NM 87059-8232
(505) 573-5407
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
T-0192991
NM
Other
Enumeration date
11/28/2017
Last updated
11/28/2017
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