Brian Crisan, | |
711 Belmont Ave, Youngstown, OH 44502-1039 | |
(330) 793-2487 | |
(330) 743-5748 |
Full Name | Brian Crisan |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 711 Belmont Ave, Youngstown, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912492695 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Entity Name | Community Support Services, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457505968 PECOS PAC ID: 7911993415 Enrollment ID: O20040421000888 |
Mailing Address | Practice Location Address |
---|---|
Brian Crisan, 711 Belmont Ave, Youngstown, OH 44502-1039 Ph: (330) 793-2487 | Brian Crisan, 711 Belmont Ave, Youngstown, OH 44502-1039 Ph: (330) 793-2487 |
Monique T Brown, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 978 Winona Dr, Youngstown, OH 44511 Phone: 330-716-8999 | |
Evelyn C Clark, LPCC-S Counselor Medicare: Medicare Enrolled Practice Location: 527 N Meridian Rd, Youngstown, OH 44509 Phone: 330-797-0070 | |
Alexis S Mcandrew, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 527 N Meridian Rd, Youngstown, OH 44509 Phone: 330-797-0074 | |
Katalin Bacha, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 527 N Meridian Rd, Youngstown, OH 44509 Phone: 330-797-0074 | |
Samantha A Cross, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 550 W Chalmers Ave, Youngstown, OH 44511 Phone: 330-797-0070 | |
Jennifer Palumbo, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 310 Churchill Hubbard Rd, Suite A, Youngstown, OH 44505 Phone: 330-759-3040 Fax: 330-759-3070 | |
Eleni N. Gage, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 611 Belmont Ave, Youngstown, OH 44502 Phone: 330-744-2991 Fax: 330-744-2971 |