| NPI | 1801668686 |
|---|---|
| Former Legal Business Name | CODY BRYANT LCPC INC. |
| Entity Type | Organization |
| Authorized Contact | CODY BRYANT President 406-431-7764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-10-25 |
| Last Update Date | 2023-10-25 |