Doctor Name: | KRISTEN K BRUBAKER |
NPI Number: | 1811368186 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LSW |
License Number: | S.1101024 |
Business Practice Address: | 601 S Edwin C Moses Blvd Samaritan Behavioral Health Inc, 1st Floor, Nw Bldg Dayton, OH - 454173424 |
Business Phone Number: | 9377348333 |
Business Fax Number: | |
Mailing Address: | 601 S Edwin C Moses Blvd, Samaritan Behavioral Health, Inc. 4th Floor, Nw Bldg DAYTON |
State: | OH |
Postal Code: | 454173424 |
Phone Number: | 9377348333 |
Fax Number: | 9372768269 |
NPI Enumeration Date: | 10/13/2015 |
NPI Last Update Date: | 10/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | S.1101024 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |