MRS. Audra Jean Bryant, MS.,LPC., LSW.

NPI #1306018049 in Eagle, Idaho

Provider Information

NPI Number
1306018049
Entity Type
Individual
Name
MRS. Audra Jean Bryant, MS.,LPC., LSW.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Professional
Credential
MS.,LPC., LSW.
Enumeration Date
Apr 1, 2008
Last Updated
Apr 1, 2008

Practice Location

Address
228 E PLAZA ST STE B
Address 2
PMB#137
City
Eagle
State
Idaho
ZIP Code
83616-5982
Phone
(208) 371-5433

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional
Social Worker

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