Provider Demographics
NPI:1740707371
Name:WEISHAAR, BRIANNE (CDCA)
Entity type:Individual
Prefix:MRS
First Name:BRIANNE
Middle Name:
Last Name:WEISHAAR
Suffix:
Gender:F
Credentials:CDCA
Other - Prefix:MISS
Other - First Name:BRIANNE
Other - Middle Name:
Other - Last Name:PERRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CDCA
Mailing Address - Street 1:445 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44310-3146
Mailing Address - Country:US
Mailing Address - Phone:330-996-2222
Mailing Address - Fax:
Practice Address - Street 1:445 N MAIN ST
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44310-3146
Practice Address - Country:US
Practice Address - Phone:330-996-2222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCDCA.162980101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)