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Brandy Shayne Mccubbins
Counselor in Fairborn, Ohio
NPI 1255998886

Brandy Shayne Mccubbins is a Counselor based in Cincinnati, OH. Brandy Shayne Mccubbins practices in Fairborn, OH. The NPI Number for Brandy Shayne Mccubbins is 1255998886 and holds a License No. (Ohio).

The current practice location address for Brandy Shayne Mccubbins is 302 W Main St, Fairborn, OH and can be reached out via phone at 937-281-4673 and via fax at 937-736-2815.

Location: 302 W Main St, Fairborn, OH, 45241-5427
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255998886
Provider Name
Brandy Shayne Mccubbins
Credential
Provider Entity Type
Individual
Gender
Female
Address
302 W Main St, Fairborn, OH, 45241-5427
Phone Number
937-281-4673
Fax Number
937-736-2815
Provider Enumeration Date
05/20/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
302 W Main St
City
Fairborn
State
Ohio
Zip
45324-5037
Phone Number
937-281-4673
Fax Number
937-736-2815
person
Provider Business Mailing Address Details
Address
302 W Main St
City
Fairborn
State
Ohio
Zip
45324-5037
Phone Number
937-281-4673
Fax Number
937-736-2815
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
LCDCIII.162541 (Ohio)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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