NPI 1033745138

Leroy Bryan

Practitioner Professional Counselor Conyers, GA

Practice location

Address: 1175 Green St SE, Conyers, GA 30012-5407
Phone: (770) 929-1470
Mailing address: 2945 Rosebud Rd APT 521, Loganville, GA 30052-8961

Registered specialties

Professional Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YP2500X

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Registry record

NPI: 1033745138
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Mar 2020
Record last updated: 20 Mar 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.