Amanda K. Brace, Llc | |
2334 Lake Ave Ashtabula OH 44004-3440 | |
(440) 961-0127 | |
(440) 964-0480 |
Full Name | Amanda K. Brace, Llc |
---|---|
Speciality | Counselor - Professional |
Location | 2334 Lake Ave, Ashtabula, Ohio |
Authorized Official Name and Position | Amanda Kathleen Brace (OWNER) |
Authorized Official Contact | 4403610127 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Amanda K. Brace, Llc 2334 Lake Ave Ashtabula OH 44004-3440 Ph: (440) 361-0127 | Amanda K. Brace, Llc 2334 Lake Ave Ashtabula OH 44004-3440 Ph: (440) 961-0127 |
NPI Number | 1528792348 |
---|---|
Provider Enumeration Date | 07/16/2022 |
Last Update Date | 08/22/2022 |
Certification Date | 08/22/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528792348 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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