Individual
ANDREW CRAIG BRISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC, LCDC III
Contact information
Practice address
7232 JUSTIN WAY, MENTOR, OH 44060-4881
(440) 578-8200
Mailing address
7232 JUSTIN WAY, MENTOR, OH 44060-4881
(440) 578-8200
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
E.1700216
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
151249
OH
Other
Enumeration date
07/25/2017
Last updated
12/22/2021
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