Individual
JULIE MARIE BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
900 MARSHALL ST, T OR C, NM 87901-6600
(575) 297-0171
Mailing address
900 MARSHALL ST, TRUTH OR CONSEQUENCES, NM 87901-6600
(575) 740-5096
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CTB-2024-0308
NM
172V00000X
Community Health Worker
—
NM
175T00000X
Peer Specialist
846
NM
Other
Enumeration date
03/30/2020
Last updated
07/10/2024
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