Individual
MR. BRANDON WILLIAM PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PRS
Contact information
Practice address
923 SUNRISE AVE, WEST UNION, OH 45693-1143
(937) 544-5547
(937) 544-3035
Mailing address
923 SUNRISE AVE, WEST UNION, OH 45693-1143
(937) 544-5547
(937) 544-3035
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
175494
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.180850
OH
101YM0800X
Mental Health Counselor
—
OH
171M00000X
Case Manager/Care Coordinator
—
OH
175T00000X
Peer Specialist
Primary
0002244
OH
Other
Enumeration date
07/02/2021
Last updated
05/31/2022
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