Mary H. Rivera-Brahm, LSW, LICDC-S LCPC

NPI #1942235395 in Berea, Ohio

Provider Information

NPI Number: 1942235395
Entity Type: Individual
Name: Mary H. Rivera-Brahm, LSW, LICDC-S LCPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: LSW, LICDC-S LCPC
Enumeration Date: Jul 12, 2006
Last Updated: Feb 28, 2014

Practice Location

Address: 454 MAPLE AVE
City: Berea
State: Ohio
ZIP Code: 44017-1227
Phone: (440) 409-8507

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Social Worker	104100000X
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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