Brian John Bruening, LPCC
Counselor, Professional in Mentor, OH. Individual provider (NPI-1).
NPI number1407488232
StatusActive
Last updated in NPPESMar 8, 2022
Details
- NPI
- 1407488232
- Entity type
- Individual (NPI-1)
- Name
- Brian John Bruening
- Credential
- LPCC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 10, 2020
- Certification date
- Mar 8, 2022
- Last updated
- Mar 8, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 1901688 | OH | Yes |
Practice location
7232 Justin WayMentor, OH 44060-4881
Phone 440-578-8200
Mailing address
7232 Justin WayMentor, OH 44060-4881
Phone 440-488-2855
Other practice locations
20800 Center Ridge Rd Ste 410
Rocky River, OH 44116-4306
Rocky River, OH 44116-4306
Phone 440-356-7620
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