Laurie Elizabeth Bryson, LPC

Individual provider Active NPI Professional Counselor · Washington, MO

NPI 1043590839 · NPPES record last updated Jan 3, 2020

Key facts

NPI
1043590839
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
2007003657 (MO)
Practice address
102 Elm Street
Suite 204
Washington, MO 63090
Phone
(314) 607-6922
NPI assigned
Aug 24, 2011
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2007003657MOMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2007003657 MO Yes

Addresses

Primary practice location

102 Elm Street
Suite 204
Washington, MO 63090

Mailing address

4549 Boles Road
Labadie, MO 63055
Phone (314) 607-6922

Other providers in Washington, MO

All providers in Washington, MO · Professional Counselor in Missouri

Sources for this page

Verify at the official NPI Registry.