Individual
MRS. AMY ROSE BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC, CPSS
Contact information
Practice address
1617 S HAWTHORNE RD, WINSTON SALEM, NC 27103-4127
(336) 842-6980
(336) 842-6984
Mailing address
214 KNOXWOOD RD, WINSTON SALEM, NC 27107-9395
(336) 618-6543
(336) 842-6984
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CADC-23210
NC
Other
Enumeration date
05/11/2021
Last updated
05/11/2021
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