Individual provider · Type 1 NPI

Khalliah Grace Bryant, MS

Counselor · Maitland, FL

NPI number 1174041123 Active

Practice location

1009 Maitland Center Commons Blvd Ste 212
Maitland, FL 32751-7270

Mailing address

3634 Boone Park Ave Unit 2
Jacksonville, FL 32205-9002

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: 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's degree and clinical experience and supervision for licensure or certification.

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About NPI 1174041123

Khalliah Grace Bryant, MS's National Provider Identifier is 1174041123, issued on Aug 30, 2017. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Maitland, FL. The record was last updated on Aug 30, 2017.