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General NPI Number Information
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NPI Number | 1932938925
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Entity Type | Organization
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Legal Business Name | BRYANT COUNSELING & CONSULTING A LICENSED CLINICAL SOCIAL WORKER CO
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Dates
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Enumeration Date | 07/29/2024
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Last Update Date | 07/29/2024
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Provider Practice Location Address
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Address Line | 5757 W CENTURY BLVD STE 803
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City | LOS ANGELES
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State | CA
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Zip | 90045-6401
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Country | US
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Telephone | 323-282-7922
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Fax |
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Provider Business Mailing Address
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Address Line | 5757 W CENTURY BLVD STE 803
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City | LOS ANGELES
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State | CA
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Zip | 90045-6401
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Country | US
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Telephone | 323-391-1396
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | EFREM BRYANT
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Credential | LCSW
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Telephone | 323-391-1396
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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