Individual
JAMES GAYDOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDCA II
Contact information
Practice address
1320 WASHINGTON AVE, CLEVELAND, OH 44113-2333
(216) 727-2055
Mailing address
1320 WASHINGTON AVE, CLEVELAND, OH 44113-2333
(216) 727-2055
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.178193
OH
175T00000X
Peer Specialist
APS.001944
OH
Other
Enumeration date
04/28/2022
Last updated
04/28/2022
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