Julian Brennan Licht
NPI #1982479960 in Saint Clairsville, Ohio
Provider Information
- NPI Number
- 1982479960
- Entity Type
- Individual
- Name
- Julian Brennan Licht
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Peer Specialist
- Enumeration Date
- Nov 20, 2023
- Last Updated
- Nov 20, 2023
Practice Location
- Address
- 68150 BAYBERRY DR
- State
- Ohio
- ZIP Code
- 43950-8547
- Phone
- (740) 996-7010
Specialties & Taxonomy Codes
| Specialty |
|---|
| Peer Specialist |
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Organizations
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|---|---|
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