Individual
BRANDON EDWARD NUSBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
76 ASHWOOD DR, TIFFIN, OH 44883-1908
(419) 448-9440
Mailing address
1925 HAYES AVE, SANDUSKY, OH 44870-4737
(419) 557-5177
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
S.2106984
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
02/26/2018
Last updated
06/15/2022
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