| Doctor Name: | MR. BRIAN ERIC VOTAW |
| NPI Number: | 1336222199 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.A., PC |
| License Number: | C.0500486 |
| Business Practice Address: | 950 Meadow Dr Ste A Mount Gilead, OH - 433381055 |
| Business Phone Number: | 4199474560 |
| Business Fax Number: | |
| Mailing Address: | 1470 County Road 26, MARENGO |
| State: | OH |
| Postal Code: | 433349705 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 10/23/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | C.0500486 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |