Provider Demographics
NPI:1518032796
Name:MORRIS-BRYANT, JOCELYN R (MFT)
Entity Type:Individual
Prefix:MRS
First Name:JOCELYN
Middle Name:R
Last Name:MORRIS-BRYANT
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 756
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90801-0756
Mailing Address - Country:US
Mailing Address - Phone:310-966-6553
Mailing Address - Fax:310-231-0684
Practice Address - Street 1:11080 W. OLYMPIC BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90064
Practice Address - Country:US
Practice Address - Phone:310-966-6553
Practice Address - Fax:310-231-0684
Is Sole Proprietor?:No
Enumeration Date:2006-11-22
Last Update Date:2014-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC42653106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist