Individual provider · Type 1 NPI
Deondre L. Bryant, ICADC, SAP
Addiction (Substance Use Disorder) Counselor · Boise, ID
NPI number
1467328757
Active
Practice location
3287 N Maple Grove Rd
Boise, ID 83704-4215
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 11564 (ID) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1467328757
Deondre L. Bryant, ICADC, SAP's National Provider Identifier is 1467328757, issued on Oct 14, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Boise, ID. The record was last updated on Oct 14, 2025.