Provider Demographics
NPI:1417225475
Name:VALASEK, BRIAN D (LPCC, LICDC)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:D
Last Name:VALASEK
Suffix:
Gender:M
Credentials:LPCC, LICDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8622 WINTON ROAD
Mailing Address - Street 2:SUITE A
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-4823
Mailing Address - Country:US
Mailing Address - Phone:513-345-0741
Mailing Address - Fax:513-672-2740
Practice Address - Street 1:8622 WINTON ROAD
Practice Address - Street 2:SUITE A
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-4823
Practice Address - Country:US
Practice Address - Phone:513-345-0741
Practice Address - Fax:513-672-2740
Is Sole Proprietor?:No
Enumeration Date:2011-12-06
Last Update Date:2016-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHICDC-111093101YA0400X
OHE-0900188101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)