CRYSTAL DEE BRYANT

MODESTO, CA
NPI1497211296
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-02-16
Last Update Date2021-03-22
Business Address
CRYSTAL DEE BRYANT SUDCC
1116 ALICE ST
MODESTO, CA 95350-5905
Phone number: 209-578-3132
Mailing Address
CRYSTAL DEE BRYANT SUDCC
1100 KANSAS AVE STE B
MODESTO, CA 95351-1596
Phone number: 209-579-1151