Individual
MRS. BREANNA LORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3445 S MAIN ST, COVENTRY TOWNSHIP, OH 44319-3028
(330) 237-6945
Mailing address
3445 S MAIN ST, COVENTRY TOWNSHIP, OH 44319-3028
(330) 999-2332
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
191135
OH
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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