Individual
BRANDON MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2775 STATE ROUTE 39, SHELBY, OH 44875-9466
(419) 747-3322
Mailing address
741 SCHOLL RD, MANSFIELD, OH 44907-1571
(419) 756-1717
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.172189
OH
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/02/2019
Last updated
03/09/2021
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