Individual
MS. AMANDA RAE BRENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
445 N MAIN ST, AKRON, OH 44310-3146
(330) 966-2222
Mailing address
3520 BRIARDALE DR NW, MASSILLON, OH 44646-2814
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
140224
OH
Other
Enumeration date
08/15/2017
Last updated
08/15/2017
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