Organization
WELLSPRING COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL N BRYSON LPCMH (OWNER)
(302) 373-8904
Entity
Organization
Contact information
Practice address
115 E GLENWOOD AVE, SMYRNA, DE 19977-1424
(302) 373-8904
Mailing address
623 E RADISON RUN, CLAYTON, DE 19938-3837
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0000536
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588928816
—
DE
Enumeration date
10/04/2017
Last updated
10/04/2017
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