Individual
CHARLISA BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4998 W BROAD ST STE 104, COLUMBUS, OH 43228-1647
(614) 754-8051
Mailing address
193 DEMOREST RD, COLUMBUS, OH 43204-1242
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
193678
OH
Other
Enumeration date
09/16/2025
Last updated
09/16/2025
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