Individual
COLLEEN MCQUAIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
6200 ROCKSIDE WOODS BLVD N STE 305, INDEPENDENCE, OH 44131-2343
(440) 554-7626
Mailing address
1577 W 29TH ST APT 203, CLEVELAND, OH 44113-2944
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.1801179
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.164733
OH
Other
Enumeration date
03/09/2018
Last updated
08/13/2019
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