Individual
LACIE MARIE BRUBAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
87 N CANTON RD, AKRON, OH 44305
(330) 733-7993
Mailing address
87 N CANTON RD, AKRON, OH 44305-3838
(330) 733-7993
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
C.1800877
OH
101YP2500X
Professional Counselor
Primary
E.2001936
OH
Other
Enumeration date
01/31/2017
Last updated
10/09/2020
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