Individual
BROOKE TENNENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
741 SCHOLL RD, MANSFIELD, OH 44907-1587
(419) 756-1717
Mailing address
741 SCHOLL RD, MANSFIELD, OH 44907-1587
(419) 756-1717
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/07/2023
Last updated
09/08/2023
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