Individual
BRANDON CORY CONLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14574 ST RT 23, WAVERLY, OH 45690
(740) 912-9126
Mailing address
1648 HIGHLAND AVE, PORTSMOUTH, OH 45662-3609
(614) 307-4191
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
04/27/2023
Last updated
04/27/2023
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