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Contact Information

NATHANIEL W BRYAN, LCSW, LCAC
1700 E 38TH ST
MARION, IN46953-4568
 Phone: 765-674-3321
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for NATHANIEL W BRYAN · (Male)

NPI # 1134171622
Status Active
Credentials LCSW, LCAC
Entity Individual
Enumeration date 05/16/2006
Last updated 09/25/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 34003404A
  • IN License # 87001132A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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