Individual
BRAD ALLEN MENDENHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
110 HIGHLAND AVE, CIRCLEVILLE, OH 43113-1208
(740) 477-1745
Mailing address
110 HIGHLAND AVE, CIRCLEVILLE, OH 43113-1208
(740) 477-1745
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.192113
OH
175T00000X
Peer Specialist
APS.004339
OH
Other
Enumeration date
02/15/2023
Last updated
04/21/2025
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