Audra Jean Bryant, MS.,LPC., LSW. Valid NPI
Individual provider · Professional Counselor · Eagle, ID
- NPI
- 1306018049
- Type
- Individual (Type 1)
- Primary specialty
- Professional Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YP2500X
- License number
- LPC-3473 (ID)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2008-04-01
- Last updated
- 2008-04-01
Practice location
228 E Plaza St Ste B, Pmb#137
Eagle, ID 83616-5982
(208) 371-5433