Blake Bryant
Blake Bryant is a Professional Counselor in Van Buren, Arkansas. Licensed in Arkansas. Registered with an NPI since 2021.
- Licensed in
- AR
- In the registry since
- 2021
Practice location Address checks out
1304 Cherry StVan Buren, AR 72956-4543
Phone: (479) 310-9096
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Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence A2102206 (AR) |
|---|
Record details
| NPI number | 1306431515 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 9, 2021 |
| Last updated in NPPES | March 9, 2021 |
| Certification date | March 3, 2021 |
| Mailing address | 1304 Cherry St, Van Buren, AR 72956-4543 |
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