Individual
MR. CARL RYAN BRASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PCC
Contact information
Practice address
22001 FAIRMOUNT BLVD, SHAKER HEIGHTS, OH 44118-4819
(216) 320-8581
Mailing address
1415 W MINER RD, MAYFIELD HTS, OH 44124-1773
(216) 773-0742
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E 1000014
OH
Other
Enumeration date
12/16/2010
Last updated
12/16/2010
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