Individual
CHANELL R ELSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW, CDCA
Contact information
Practice address
3500 CARNEGIE AVE, CLEVELAND, OH 44115-2641
(440) 260-8300
(440) 260-8575
Mailing address
434 EASTLAND RD, BEREA, OH 44017-1217
(440) 234-2006
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
S.1700942
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.150927
—
Other
Enumeration date
05/07/2018
Last updated
05/07/2018
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