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Provider Information for 1184199887


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ARIELLE BRYANT LMFT


Sex: Female

NPI: 1184199887
Last Updated: 2021-03-02
Certification Date: 2021-03-02

Details

NameValue
NPI1184199887
Enumeration Date2018-10-09
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 1555 INDUSTRIAL DR
OWOSSO, MI 48867-9775
United States

Phone: | Fax:
 
Primary Practice Address 1555 INDUSTRIAL DR
OWOSSO, MI 48867-9775
United States

Phone: 989-723-6791 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 106H00000X - Marriage & Family Therapist MI4101006740
Yes 106H00000X - Marriage & Family Therapist MI4101007116