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Individual

BRIAN SAMBECKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
399 E MAIN ST, COLUMBUS, OH 43215-5384
(614) 355-8550
(614) 355-8593
Mailing address
DEPT 781625, DETROIT, MI 48278-1625
(614) 355-8004
(614) 355-2220

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C1400415
OH
101YP2500X
Professional Counselor
C.1400415
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1473276
OH
Enumeration date
06/02/2016
Last updated
11/19/2019
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