Most Relevant Information
Provider Data
NPI Number: | 1003471038 |
Provider Name: | SHEENA BRYANT MS, MAC, CAC II |
Entity Type: | Individual |
Taxonomy Code: | 101YA0400X |
Specialty: | Counselor |
License Number: |
Most Important Dates
Enumeration Date: | 05/06/2019 |
Last Updated: | 05/06/2019 |
Provider Practice Location
2093 HIGHWAY 42 N STE C
JENKINSBURG
GA
302342461
Practice Location Phone/Fax
Phone: | 7705043340 |
Fax: |
Provider Mailing Location
2093 HIGHWAY 42 N STE C
JENKINSBURG
GA
302342461
Provider Mailing Phone/Fax
Phone: | 7705043340 |
Fax: |