Doctor Name: | CHRISTINE BRODZINSKI |
NPI Number: | 1043601339 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPCC |
License Number: | E0008103 |
Business Practice Address: | 134 S St Clair Painesville, OH - 44077 |
Business Phone Number: | 4402052688 |
Business Fax Number: | 4403581930 |
Mailing Address: | 134 S. St. Clair, PAINESVILLE |
State: | OH |
Postal Code: | 44077 |
Phone Number: | 4402052688 |
Fax Number: | 4403581930 |
NPI Enumeration Date: | 02/09/2015 |
NPI Last Update Date: | 02/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | E0008103 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |