Individual provider · Type 1 NPI

Carl Ryan Brass, PCC

Mental Health Counselor · Shaker Heights, OH

NPI number 1619270402 Active

Practice location

22001 Fairmount Blvd
Shaker Heights, OH 44118-4819

Mailing address

1415 W Miner Rd
Mayfield Heights, OH 44124-1773

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XE 1000014 (OH)

Mental Health Counselor: Definition to come...

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About NPI 1619270402

Carl Ryan Brass, PCC's National Provider Identifier is 1619270402, issued on Dec 16, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Shaker Heights, OH. The record was last updated on Dec 16, 2010.