| Doctor Name: | MS. JUDIANN SUCHOMEL BRYANT |
| NPI Number: | 1235361221 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC, CH,CACII, LAC |
| License Number: | ACD.0000669 |
| Business Practice Address: | 1045 Lords Hill Dr Fountain, CO - 808174718 |
| Business Phone Number: | 7192481789 |
| Business Fax Number: | 7192481789 |
| Mailing Address: | 1045 Lords Hill Dr, FOUNTAIN |
| State: | CO |
| Postal Code: | 808174718 |
| Phone Number: | 7192481789 |
| Fax Number: | 7192481789 |
| NPI Enumeration Date: | 08/10/2009 |
| NPI Last Update Date: | 04/24/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | ACD.0000669 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |