Individual
BRIAN EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
1319 FLORENCEDALE AVE, YOUNGSTOWN, OH 44505-2712
(330) 743-4673
Mailing address
1319 FLORENCEDALE AVE, YOUNGSTOWN, OH 44505-2712
(330) 743-4673
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.181583
OH
Other
Enumeration date
08/02/2022
Last updated
08/02/2022
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