AUDRA JEAN BRYANT

EAGLE, ID
NPI1306018049
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: ID  LPC-3473)
Additional Taxonomies104100000X Social Worker
(Licence: ID  LSW-2046)
Enumeration Date2008-04-01
Last Update Date2008-04-01
Business Address
Mrs. AUDRA JEAN BRYANT MS.,LPC., LSW.
228 E PLAZA ST STE B PMB#137
EAGLE, ID 83616-5982
Phone number: 208-371-5433
Mailing Address
Mrs. AUDRA JEAN BRYANT MS.,LPC., LSW.
228 E PLAZA ST STE B PMB#137
EAGLE, ID 83616-5982
Phone number: 208-371-5433