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Brandon Myers

Counselor, Addiction (Substance Use Disorder) in Shelby, OH. Individual provider (NPI-1).

NPI number1164069894
StatusActive
Last updated in NPPESMar 9, 2021

Details

NPI
1164069894
Entity type
Individual (NPI-1)
Name
Brandon Myers
Sex
Male
Sole proprietor
Yes
Enumeration date
Dec 2, 2019
Certification date
Mar 9, 2021
Last updated
Mar 9, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)CDCA.172189OHYes
106S00000X Behavior Technician––

Practice location

2775 State Route 39
Shelby, OH 44875-9466

Phone 419-747-3322

Mailing address

741 Scholl Rd
Mansfield, OH 44907-1571

Phone 419-756-1717

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Other Addiction (Substance Use Disorder) Counselor providers in Shelby, OH

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