Individual provider · Type 1 NPI

Nicole Marie Bryant, LPC

Professional Counselor · Southgate, MI

NPI number 1518205376 Active

Practice location

13101 Allen Rd
Southgate, MI 48195-2216

Mailing address

15593 Knollwood Dr
Dearborn, MI 48120-1353

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X6401011946 (MI)

Professional Counselor: Definition to come...

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About NPI 1518205376

Nicole Marie Bryant, LPC's National Provider Identifier is 1518205376, issued on Jan 29, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Southgate, MI. The record was last updated on Jan 29, 2013.