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Dr. Lou B Bryant, PHD
Professional Counselor in Salem, Illinois
NPI 1720159668

Lou B Bryant is a Professional Counselor based in Salem, IL and is specialized in Professional. Lou B Bryant practices in Salem, IL and has the professional credentials of PHD. The NPI Number for Lou B Bryant is 1720159668 and holds a License No. 166-00185 (Illinois).

The current practice location address for Lou B Bryant is 3956 Hester Ln, Salem, IL and can be reached out via phone at 618-322-4183 and via fax at 618-548-1266. You can also correspond with Lou B Bryant through the mailing address at 3956 HESTER LN, SALEM, IL - 62881-6657 (mailing address contact number: 618-322-4183).

Location: 3956 Hester Ln, Salem, IL, 62881-6657
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Provider Profile Details
NPI Number
1720159668
Provider Name
Lou B Bryant
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
3956 Hester Ln, Salem, IL, 62881-6657
Phone Number
618-322-4183
Fax Number
618-548-1266
Provider Enumeration Date
11/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0006132004 01 IL BCBS PROVIDER #
institution
Provider Business Practice Location Address Details
Address
3956 Hester Ln
City
State
Zip
62881-6657
Phone Number
618-322-4183
Fax Number
618-548-1266
person
Provider Business Mailing Address Details
Address
3956 Hester Ln
City
State
Zip
62881-6657
Phone Number
618-322-4183
Fax Number
618-548-1266
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
166-00185 (Illinois)
Definition
Definition to come...
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