Individual
BRANDY SUE NOLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14532 ST. RT. 23, WAVERLY, OH 45690
(740) 947-2364
Mailing address
1721 5TH ST, PORTSMOUTH, OH 45662-4416
(740) 464-4939
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
05/26/2023
Last updated
05/26/2023
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