Individual
BREANNA DESANDRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
5800 MONROE ST, SYLVANIA, OH 43560-2263
(419) 343-7737
Mailing address
5800 MONROE ST, SYLVANIA, OH 43560-2263
(419) 343-7737
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E.2102630
OH
Other
Enumeration date
06/01/2021
Last updated
01/05/2023
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