BRIAN MICHAEL THATCHER

MENTOR, OH
NPI1538405006
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  011427)
Enumeration Date2013-01-02
Last Update Date2013-01-02
Business Address
-- BRIAN MICHAEL THATCHER LCDC-III
9083 MENTOR AVE
MENTOR, OH 44060-6462
Phone number: 440-255-0678
Mailing Address
-- BRIAN MICHAEL THATCHER LCDC-III
9083 MENTOR AVE
MENTOR, OH 44060-6462
Phone number: