Individual
VICTORIA JACQUELINE BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1122 HIGHWAY 91 APT A, ELIZABETHTON, TN 37643-6226
(423) 492-3087
Mailing address
1122 HIGHWAY 91 APT A, ELIZABETHTON, TN 37643-6226
(423) 492-3087
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5827
TN
Other
Enumeration date
04/06/2022
Last updated
04/06/2022
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