Andrew Craig Brisch, LPCC, LCDC III
Counselor in Mentor, OH. Individual provider (NPI-1).
NPI number1669995304
StatusActive
Last updated in NPPESDec 22, 2021
Details
- NPI
- 1669995304
- Entity type
- Individual (NPI-1)
- Name
- Andrew Craig Brisch
- Credential
- LPCC, LCDC III
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 25, 2017
- Certification date
- Dec 22, 2021
- Last updated
- Dec 22, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | E.1700216 | OH | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 151249 | OH |
Practice location
7232 Justin WayMentor, OH 44060-4881
Phone 440-578-8200
Mailing address
7232 Justin WayMentor, OH 44060-4881
Phone 440-578-8200
Other practice locations
35900 Euclid Ave
Willoughby, OH 44094-4623
Willoughby, OH 44094-4623
Phone 440-953-3000
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