Individual provider · Type 1 NPI
Audra Jean Bryant, MS., LPC., LSW.
Professional Counselor · Eagle, ID
NPI number
1306018049
Active
Practice location
228 E Plaza St Ste B, PMB#137
Eagle, ID 83616-5982
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC-3473 (ID) |
| Social Worker | 104100000X | LSW-2046 (ID) |
Professional Counselor: Definition to come...
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About NPI 1306018049
Audra Jean Bryant, MS., LPC., LSW.'s National Provider Identifier is 1306018049, issued on Apr 1, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Eagle, ID. The record was last updated on Apr 1, 2008.