Individual
BRANDON MICHAEL RISNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
825 JUNE ST, FREMONT, OH 43420-3417
(567) 280-4531
(567) 208-4574
Mailing address
825 JUNE ST, FREMONT, OH 43420-3417
(567) 280-4531
(567) 208-4574
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.178812
OH
Other
Enumeration date
11/08/2021
Last updated
11/08/2021
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