Individual
AMANDA KATHLEEN BRACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC-S, M.ED
Contact information
Practice address
2334 LAKE AVE, ASHTABULA, OH 44004-3440
(440) 361-0127
Mailing address
2334 LAKE AVE, ASHTABULA, OH 44004-3440
(440) 361-0127
(330) 548-0039
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E.0900428-SUPV
OH
101YS0200X
School Counselor
OH1485147
OH
Other
Enumeration date
08/13/2010
Last updated
07/11/2022
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