Individual
JOHN BRENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
432 CENTER ST, ASHLAND, OH 44805-3247
(419) 560-2572
Mailing address
PO BOX 57, MARENGO, OH 43334-0057
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPCC-S EI66
OH
Other
Enumeration date
11/13/2016
Last updated
11/13/2016
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