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Individual

JONATHAN BRASHEAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
SWT, CDCA

Contact information

Practice address
411 COURT ST, PORTSMOUTH, OH 45662-3932
(740) 354-6685
Mailing address
923 FINDLAY ST, PORTSMOUTH, OH 45662-4148

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCD.090576
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCDC.161453
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.161928
OH
101YM0800X
Mental Health Counselor
QMHS
OH
1041C0700X
Clinical Social Worker
Primary
I.2203449
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0275011
OH
Enumeration date
11/02/2017
Last updated
04/04/2022
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