Individual provider · Type 1 NPI

Charlesetta Bryant

Mental Health Counselor · Westampton, NJ

NPI number 1619358389 Active

Practice location

770 Woodlane Rd
Westampton, NJ 08060-3804

Mailing address

770 Woodlane Rd Ste 35
Westampton, NJ 08060-3803

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1619358389

Charlesetta Bryant's National Provider Identifier is 1619358389, issued on Jun 17, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Westampton, NJ. The record was last updated on Jun 17, 2015.