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Organization
THE CONNECTED COUNSELOR
Active
Organization
THE CONNECTED COUNSELOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL POYTHRESS NA (AUTHORIZED AGENT)
(216) 645-2746
Entity
Organization
Contact information
Practice address
2189 PROFESSOR AVE, CLEVELAND, OH 44113-3634
(216) 505-0959
Mailing address
2189 PROFESSOR AVE, CLEVELAND, OH 44113-3634
(216) 505-0959
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/01/2022
Last updated
03/23/2023
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