Individual
BRYLEE JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
6150 PARK SQUARE DR STE B, LORAIN, OH 44053-4153
(440) 984-3882
Mailing address
1925 HAYES AVE, SANDUSKY, OH 44870-4737
(419) 557-5177
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.177842
OH
104100000X
Social Worker
Primary
S.1904102
OH
Other
Enumeration date
08/14/2019
Last updated
09/03/2021
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