Individual
BRITTANY FORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
117 E 3RD ST REAR, UHRICHSVILLE, OH 44683-1818
(740) 922-2144
Mailing address
2000 NOBLE DR, WOOSTER, OH 44691-5353
(330) 264-3232
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1901911
OH
Other
Enumeration date
09/18/2019
Last updated
12/15/2023
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