Individual
ANTTARCH BRANDY SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW, LPC
Contact information
Practice address
892 GLASGOW DR, CINCINNATI, OH 45240-2447
(513) 616-8774
Mailing address
892 GLASGOW DR, CINCINNATI, OH 45240-2447
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.1000458
OH
Other
Enumeration date
01/27/2017
Last updated
01/27/2017
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