Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) | CDCA.161857 | OH |
NPI | 1003314303 |
---|---|
Provider Name | Brittaney Nicole Byers |
First Address | Cleveland, OH 44115-2518 |
Second Address | Cleveland, OH 44115-2518 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/02/2018 |
Last Update Date | 01/02/2018 |