Individual
ALICIA WASSENICH O'BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW, LICDC
Contact information
Practice address
257 HOPELAND ST BLDG B, DAYTON, OH 45417-3420
(937) 535-8101
(937) 222-7657
Mailing address
257 HOPELAND ST BLDG B, DAYTON, OH 45417-3420
(937) 535-8101
(937) 222-7657
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.162657
OH
104100000X
Social Worker
Primary
S.2207896
OH
Other
Enumeration date
07/31/2018
Last updated
01/11/2025
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