Individual
CHELSEA DAWN PUDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
1302 WINSLOW AVE, CLEVELAND, OH 44113-2336
(216) 781-0550
(216) 771-1563
Mailing address
30800 CHAGRIN BLVD., CLEVELAND, OH 44124
(216) 591-0324
(216) 591-1243
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.164576
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2374229
—
OH
Enumeration date
09/12/2017
Last updated
11/04/2019
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