| 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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