Breanna Desandro Lpcc LLC
Counselor, Mental Health in Sylvania, OH. Organization (NPI-2).
NPI number1851106702
StatusActive
Last updated in NPPESFeb 10, 2025
Details
- NPI
- 1851106702
- Entity type
- Organization (NPI-2)
- Legal business name
- Breanna Desandro Lpcc LLC
- Organization subpart
- No
- Enumeration date
- Feb 10, 2025
- Certification date
- Feb 9, 2025
- Last updated
- Feb 10, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
5800 Monroe StSylvania, OH 43560-2263
Phone 734-436-1345
Mailing address
4407 Vogel DrToledo, OH 43613-3116
Phone 734-476-3646
Authorized official
Breanna Desandro
Therapist
7344361345
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