Brian Brown
Peer Specialist in Blacklick, OH. Individual provider (NPI-1).
NPI number1245015643
StatusActive
Last updated in NPPESAug 25, 2023
Details
- NPI
- 1245015643
- Entity type
- Individual (NPI-1)
- Name
- Brian Brown
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 25, 2023
- Certification date
- Aug 25, 2023
- Last updated
- Aug 25, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | OH | Yes |
Practice location
712 Loreto LnBlacklick, OH 43004-8365
Phone 614-804-2192
Mailing address
712 Loreto LnBlacklick, OH 43004-8365
Phone 614-804-2192
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