Robert James Henry Bryant II, QMHA

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · John Day, OR

NPI 1083494587 · NPPES record last updated Oct 2, 2023

Key facts

NPI
1083494587
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
528 E Main St Ste W
John Day, OR 97845-1289
Phone
(541) 575-1466
Fax
(541) 575-1411
NPI assigned
Oct 2, 2023
Sex
Male
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Yes

Addresses

Primary practice location

528 E Main St Ste W
John Day, OR 97845-1289

Mailing address

PO Box 469
Heppner, OR 97836-0469
Phone (541) 676-9161

Other providers in John Day, OR

All providers in John Day, OR · Addiction (Substance Use Disorder) Counselor in Oregon

Sources for this page

Verify at the official NPI Registry.