Individual
BRENT ALAN BERNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED. LPCC-S
Contact information
Practice address
515 WINDSOR PARK DR, DAYTON, OH 45459-4112
(513) 312-1532
(937) 723-9888
Mailing address
515 WINDSOR PARK DR, DAYTON, OH 45459-4112
(513) 312-1532
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
E3509
OH
101YM0800X
Mental Health Counselor
E3509
OH
101YP2500X
Professional Counselor
Primary
E3509
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0164999
—
OH
Enumeration date
09/08/2014
Last updated
12/11/2023
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