John Brent, PH.D.

Individual provider Active NPI Professional Counselor · Ashland, OH

NPI 1689116352 · NPPES record last updated Nov 13, 2016

Key facts

NPI
1689116352
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
LPCC-S EI66 (OH)
Practice address
432 Center St
Ashland, OH 44805-3247
Phone
(419) 560-2572
NPI assigned
Nov 13, 2016
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LPCC-S EI66OHMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPCC-S EI66 OH Yes

Addresses

Primary practice location

432 Center St
Ashland, OH 44805-3247

Mailing address

PO Box 57
Marengo, OH 43334-0057

Other providers in Ashland, OH

All providers in Ashland, OH · Professional Counselor in Ohio

Sources for this page

Verify at the official NPI Registry.