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Organization

ERIC BRYAN LLC

Active
Other names
Eric Bryan Therapy
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ERIC BRYAN MA, LMHC (OWNER)
(317) 999-1202
Entity
Organization

Contact information

Practice address
6544 FERGUSON ST, INDIANAPOLIS, IN 46220-1178
(317) 999-1202
(317) 296-7202
Mailing address
6544 FERGUSON ST, INDIANAPOLIS, IN 46220-1178
(317) 999-1202
(317) 296-7202

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1457714701
IN
Enumeration date
10/05/2018
Last updated
10/05/2018
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