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Julian Brennan Licht
Peer Specialist in Saint Clairsville, Ohio
NPI 1982479960

Julian Brennan Licht is a Peer Specialist based in Kent, OH. Julian Brennan Licht practices in Saint Clairsville, OH. The NPI Number for Julian Brennan Licht is 1982479960 and holds a License No. APS.004150 (Ohio).

The current practice location address for Julian Brennan Licht is 68150 Bayberry Dr, Saint Clairsville, OH and can be reached out via phone at 740-996-7010.

Location: 68150 Bayberry Dr, Saint Clairsville, OH, 44240-8100
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982479960
Provider Name
Julian Brennan Licht
Credential
Provider Entity Type
Individual
Gender
Male
Address
68150 Bayberry Dr, Saint Clairsville, OH, 44240-8100
Phone Number
740-996-7010
Fax Number
Provider Enumeration Date
11/20/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
68150 Bayberry Dr
City
Saint Clairsville
State
Ohio
Zip
43950-8547
Phone Number
740-996-7010
Fax Number
person
Provider Business Mailing Address Details
Address
68150 Bayberry Dr
City
Saint Clairsville
State
Ohio
Zip
43950-8547
Phone Number
740-996-7010
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
APS.004150 (Ohio)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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