Individual
BROOKE SCHEUFLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
304 MADISON ST, PORT CLINTON, OH 43452-1937
(419) 734-5535
Mailing address
304 MADISON ST, PORT CLINTON, OH 43452-1937
(419) 734-5535
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101YA0400X
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CDCA.170136
CDCA LICENSE
OH
Enumeration date
06/09/2020
Last updated
11/27/2023
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