| Provider / Organization | NPI | Date Certified |
|---|---|---|
| BRANDY DANIELLE KUSHAN | 1235444597 | 2023-11-10 |
Brandy Danielle Kushan is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1235444597. Registration indicates Brandy Danielle Kushan is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor: Mental Health, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Mental Health, Behavioral Health & Social Service Providers) (Counselor, )
| Entity Type | Individual |
| Provider Name | Brandy Danielle Kushan M.ED., LPCC |
| Practice Office Address | 8445 MUNSON RD MENTOR, OH US |
| Practice Office Telephone | 4402551700 |
| Practice Office Fax | 4402052417 |
| Mailing Address | 8445 MUNSON RD MENTOR, OH 440602410 US |
| Business Telephone | 4402551700 |
| Business Fax | 4402052417 |
| Code | Practice | License No State |
|---|---|---|
| 101YM0800X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Mental Health Behavioral Health/Substance Abuse/Psychiatry Counselor Mental Health Behavioral Health & Social Service Providers Counselor | E.2303478
OH |
| 341458441 | MEDICAID | OH |