Provider Demographics
NPI:1386232197
Name:BRYSON, DANIEL STANLEY SR (LCPC, LCADC)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:STANLEY
Last Name:BRYSON
Suffix:SR
Gender:M
Credentials:LCPC, LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:328 N POTOMAC ST
Mailing Address - Street 2:
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21740-3820
Mailing Address - Country:US
Mailing Address - Phone:301-733-6063
Mailing Address - Fax:
Practice Address - Street 1:328 N POTOMAC ST
Practice Address - Street 2:
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21740-3820
Practice Address - Country:US
Practice Address - Phone:301-733-6063
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-07
Last Update Date:2022-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGA2796101YA0400X
MDLGP10160101YM0800X
MDLC12205101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)