Individual
WADE CHARLES BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADAC
Contact information
Practice address
2400 POPLAR AVE STE 410, MEMPHIS, TN 38112-3252
(901) 249-7970
(901) 791-4390
Mailing address
2400 POPLAR AVE STE 410, MEMPHIS, TN 38112-3252
(901) 249-7970
(901) 791-4390
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LDC0000000261
TN
Other
Enumeration date
09/10/2009
Last updated
11/09/2023
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