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Miss Breanna Rose Herock, LPCC-S,LICDC
Mental Health Counselor in Cleveland, Ohio
NPI 1295195857

Breanna Rose Herock is a Mental Health Counselor based in Cleveland, OH and is specialized in Mental Health. Breanna Rose Herock practices in Cleveland, OH and has the professional credentials of LPCC-S,LICDC. The NPI Number for Breanna Rose Herock is 1295195857 and holds a License No. LICDC.181814 (Ohio).

The current practice location address for Breanna Rose Herock is 3518 W 25Th St, Cleveland, OH and can be reached out via phone at 216-741-2241.

Location: 3518 W 25Th St, Cleveland, OH, 44109-1951
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295195857
Provider Name
Breanna Rose Herock
Credential
LPCC-S,LICDC
Provider Entity Type
Individual
Gender
Female
Address
3518 W 25Th St, Cleveland, OH, 44109-1951
Phone Number
216-741-2241
Fax Number
Provider Enumeration Date
02/25/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0250090 05 OH
institution
Provider Business Practice Location Address Details
Address
3518 W 25Th St
City
Cleveland
State
Ohio
Zip
44109-1951
Phone Number
216-741-2241
Fax Number
person
Provider Business Mailing Address Details
Address
3518 W 25Th St
City
Cleveland
State
Ohio
Zip
44109-1951
Phone Number
216-741-2241
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
E.1700423-SUPV (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
LICDC.181814 (Ohio)
Definition
Definition to come...
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