Bryant, Audra Jean

Bryant, Audra Jean is an individual health care provider with primary practice located at 228 E Plaza St Ste B Pmb#137, Eagle ID 83616-5982. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Bryant, Audra Jean can be contacted via phone (208) 371-5433.

Contact Information

Primary practice address
228 E Plaza St Ste B Pmb#137 Eagle ID 83616-5982
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC-3473 Idaho
Behavioral Health & Social Service Providers / Social Worker 104100000X LSW-2046 Idaho

Profile Details

NPI number 1306018049
LBN Legal business name Bryant, Audra Jean
Credentials MS.,LPC., LSW.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2008
Last updated Apr 1st, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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