| NPI | 1417315946 |
|---|---|
| Professional Name | JOHNNY LEE O'BRYANT |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA CIT 3419) |
| Enumeration Date | 2016-01-28 |
| Last Update Date | 2016-01-28 |