Doctor Name: | ANGEL BRYANT |
NPI Number: | 1447664958 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | LPC006343 |
Business Practice Address: | 6631 Wakefield Dr 714 Alexandria, VA - 223076877 |
Business Phone Number: | 6786635645 |
Business Fax Number: | |
Mailing Address: | 6631 Wakefield Dr, 714 ALEXANDRIA |
State: | VA |
Postal Code: | 223076877 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/12/2014 |
NPI Last Update Date: | 06/12/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LPC006343 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |