| Doctor Name: | ALICIA MARIE BRASS |
| NPI Number: | 1124322730 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPCC-S |
| License Number: | E.0600612 SUPV |
| Business Practice Address: | 22001 Fairmount Blvd Shaker Heights, OH - 441184819 |
| Business Phone Number: | 2169322800 |
| Business Fax Number: | |
| Mailing Address: | 1700 Beaconwood Ave, SOUTH EUCLID |
| State: | OH |
| Postal Code: | 441213728 |
| Phone Number: | 2165708508 |
| Fax Number: | |
| NPI Enumeration Date: | 12/23/2010 |
| NPI Last Update Date: | 02/25/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | E.0600612 SUPV |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |