Individual
MR. BRYAN MYLES MANION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LCPC, QMHP
Contact information
Practice address
701 DEVONSHIRE DR STE 201D, CHAMPAIGN, IL 61820-7337
(217) 474-8455
Mailing address
701 DEVONSHIRE DR STE 201DC-21, CHAMPAIGN, IL 61820-7337
(217) 474-8455
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180006836
IL
101YM0800X
Mental Health Counselor
Primary
—
IL
101YP2500X
Professional Counselor
Primary
180006836
IL
Other
Enumeration date
04/10/2007
Last updated
04/28/2026
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