Individual provider · Type 1 NPI

Johnny Lee O'Bryant Ii, CIT 3419 3/19/16

Addiction (Substance Use Disorder) Counselor · Baton Rouge, LA

NPI number 1417315946 Active

Practice location

4255 E Brookstown Dr
Baton Rouge, LA 70805-4603

Fax (225) 927-0771

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCIT 3419 (LA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1417315946

Johnny Lee O'Bryant Ii, CIT 3419 3/19/16's National Provider Identifier is 1417315946, issued on Jan 28, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Baton Rouge, LA. The record was last updated on Jan 28, 2016.