Organization
BROOK RUN COUNSELING & CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JILL A. WAITE LPCC-S (OWNER)
(419) 632-0588
Entity
Organization
Contact information
Practice address
3666 PARK AVE W, ONTARIO, OH 44903-9107
(419) 632-0588
(888) 522-4535
Mailing address
PO BOX 102, ONTARIO, OH 44862-0102
(419) 632-0588
(888) 522-4535
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
06/28/2023
Last updated
02/13/2025
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