Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor | OH3250271 | OH |
NPI | 1205321759 |
---|---|
Provider Name | Brianne Leigh Avsec |
First Address | Ashtabula, OH 44004-4578 |
Second Address | Ashtabula, OH 44004-4578 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2018 |
Last Update Date | 27/06/2018 |