Individual
MR. JEFFREY G WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW, LICDC
Contact information
Practice address
15910 BRYCE AVE, CLEVELAND, OH 44128-3238
(216) 510-4039
Mailing address
15910 BRYCE AVE, CLEVELAND, OH 44128-3238
(216) 510-4039
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
001378
OH
Other
Enumeration date
06/09/2010
Last updated
06/09/2010
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