Individual
MR. BRANDON IVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
3494 S HAMILTON RD STE 106, COLUMBUS, OH 43232-5600
(614) 429-7910
Mailing address
3494 S HAMILTON RD STE 106, COLUMBUS, OH 43232-5600
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
189971
OH
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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