Individual
BRIAN DEWYRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PCC-S
Contact information
Practice address
20545 CENTER RIDGE RD STE 448, ROCKY RIVER, OH 44116-3423
(440) 554-4062
(440) 356-0580
Mailing address
20545 CENTER RIDGE RD STE 448, ROCKY RIVER, OH 44116-3423
(440) 554-4062
(440) 356-0580
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
E 0002815
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
E 0002815
OH
101YM0800X
Mental Health Counselor
Primary
E 0002815
OH
101YP2500X
Professional Counselor
E 0002815
OH
Other
Enumeration date
06/10/2011
Last updated
08/22/2022
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