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Roberta D. Bryan, SUDP,AAC,CPC
Addiction (Substance Use Disorder) Counselor in Chehalis, Washington
NPI 1871054973

Roberta D. Bryan is an Addiction (Substance Use Disorder) Counselor based in Chehalis, WA and is specialized in Addiction (Substance Use Disorder). Roberta D. Bryan practices in Chehalis, WA and has the professional credentials of SUDP,AAC,CPC. The NPI Number for Roberta D. Bryan is 1871054973 and holds a License No. CG60505628 (Washington).

The current practice location address for Roberta D. Bryan is 1956 Ne Kresky Ave, Chehalis, WA and can be reached out via phone at 360-740-4380.

Location: 1956 Ne Kresky Ave, Chehalis, WA, 98532-0059
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871054973
Provider Name
Roberta D. Bryan
Credential
SUDP,AAC,CPC
Provider Entity Type
Individual
Gender
Female
Address
1956 Ne Kresky Ave, Chehalis, WA, 98532-0059
Phone Number
360-740-4380
Fax Number
Provider Enumeration Date
03/29/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2130811 05 WA
institution
Provider Business Practice Location Address Details
Address
1956 Ne Kresky Ave
City
Chehalis
State
Washington
Zip
98532-2307
Phone Number
360-740-4380
Fax Number
person
Provider Business Mailing Address Details
Address
1956 Ne Kresky Ave
City
Chehalis
State
Washington
Zip
98532-2307
Phone Number
360-740-4380
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
CP60956223 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
CG60505628 (Washington)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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